Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $163.00 / $291.64	Professional		$152.69	$163.00	$291.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $255.02	Professional		$200.00	$200.00	$255.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $291.02	Facility		$291.02	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $291.02	Professional		$212.45	$212.45	$291.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $373.06 / $537.21	Professional		$261.14	$373.06	$537.21
United Facility/Professional Facility Modifier Low / Median / High Price $126.16 / $184.46 / $217.13	Facility		$126.16	$184.46	$217.13
United Facility/Professional Professional Modifier Low / Median / High Price $168.05 / $186.11 / $296.67	Professional		$168.05	$186.11	$296.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $261.14	Professional		$223.50	$223.50	$261.14