Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $346.74	Professional		$162.18	$213.80	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $275.42	Professional		$208.93	$208.93	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $602.56	Professional		$281.84	$398.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $295.12	Facility		$131.83	$190.55	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $316.23	Professional		$177.83	$194.98	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $331.13	Professional		$234.42	$234.42	$331.13