Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $208.31 / $335.47	Professional		$175.64	$208.31	$335.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $230.00 / $293.36	Professional		$230.00	$230.00	$293.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $315.73	Professional		$230.48	$230.48	$315.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $429.14 / $617.96	Professional		$300.39	$429.14	$617.96
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $214.10 / $341.27	Professional		$182.81	$214.10	$341.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $250.09 / $300.39	Professional		$121.50	$250.09	$300.39