Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $263.03	Professional		$138.04	$169.82	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $239.88	Professional		$181.97	$181.97	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $186.21	Professional		$138.04	$138.04	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $524.81	Professional		$245.47	$346.74	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $147.91 / $223.87	Facility		$102.33	$147.91	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $269.15	Professional		$134.90	$169.82	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $288.40	Professional		$181.97	$181.97	$288.40