Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.57 / $149.09 / $263.76	Professional		$139.57	$149.09	$263.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $233.11	Professional		$183.00	$183.00	$233.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $188.22	Professional		$137.40	$137.40	$188.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $341.00 / $491.04	Professional		$238.70	$341.00	$491.04
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $170.12 / $271.17	Professional		$130.83	$170.12	$271.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $180.47 / $238.70	Professional		$180.47	$180.47	$238.70