Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $288.40	Professional		$138.04	$169.82	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $234.42	Professional		$213.80	$213.80	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Professional		$141.25	$141.25	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $512.86	Professional		$239.88	$338.84	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $229.09	Facility		$104.71	$151.36	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $269.15	Professional		$151.36	$169.82	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $239.88	Professional		$186.21	$186.21	$239.88