Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $467.74	Professional		$204.17	$275.42	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Professional		$269.15	$269.15	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $316.23	Professional		$229.09	$229.09	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $776.25	Professional		$354.81	$512.86	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $389.05	Facility		$169.82	$245.47	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $398.11	Professional		$223.87	$251.19	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Professional		$302.00	$302.00	$426.58