Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $380.19	Professional		$169.82	$213.80	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Professional		$234.42	$234.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $645.65	Professional		$302.00	$426.58	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $239.88	Facility		$128.82	$186.21	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $331.13	Professional		$173.78	$208.93	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $354.81	Professional		$229.09	$229.09	$354.81