Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $204.17	Professional		$158.49	$158.49	$204.17
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 $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $446.68	Professional		$208.93	$302.00	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $194.98	Facility		$89.13	$128.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $234.42	Professional		$117.49	$147.91	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $251.19	Professional		$154.88	$154.88	$251.19