Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $140.03 / $256.48	Professional		$139.26	$140.03	$256.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $189.96 / $232.60	Professional		$189.96	$189.96	$232.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $181.86	Professional		$132.76	$132.76	$181.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.18 / $340.25 / $489.96	Professional		$238.18	$340.25	$489.96
United Facility/Professional Facility Modifier Low / Median / High Price $98.42 / $143.90 / $169.40	Facility		$98.42	$143.90	$169.40
United Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $169.75 / $270.58	Professional		$127.21	$169.75	$270.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $174.36 / $238.18	Professional		$174.36	$174.36	$238.18