Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $316.23	Professional		$123.03	$173.78	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $281.84	Professional		$251.19	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $416.87	Professional		$186.21	$263.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $263.03	Facility		$147.91	$208.93	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $338.84	Professional		$199.53	$213.80	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $257.04	Professional		$158.49	$257.04	$257.04