Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.81 / $198.82 / $351.74	Professional		$188.81	$198.82	$351.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $247.00 / $315.36	Professional		$247.00	$247.00	$315.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $251.00	Facility		$251.00	$251.00	$251.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $183.23 / $251.00	Professional		$183.23	$183.23	$251.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.92 / $461.32 / $664.30	Professional		$322.92	$461.32	$664.30
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.85 / $230.15 / $366.85	Professional		$169.85	$230.15	$366.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.65 / $240.65 / $322.92	Professional		$240.65	$240.65	$322.92