Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.89 / $210.07 / $332.13	Professional		$173.89	$210.07	$332.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $237.19 / $290.43	Professional		$237.19	$237.19	$290.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Facility		$295.70	$295.70	$295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.87 / $215.87 / $295.70	Professional		$215.87	$215.87	$295.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $424.86 / $611.79	Professional		$297.39	$424.86	$611.79
United Facility/Professional Facility Modifier Low / Median / High Price $142.34 / $208.12 / $244.99	Facility		$142.34	$208.12	$244.99
United Facility/Professional Professional Modifier Low / Median / High Price $189.79 / $211.96 / $337.86	Professional		$189.79	$211.96	$337.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $252.17 / $297.39	Professional		$252.17	$252.17	$297.39