Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $220.88 / $363.59	Professional		$190.36	$220.88	$363.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $317.94	Professional		$249.00	$249.00	$317.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $212.16 / $290.63	Professional		$212.16	$212.16	$290.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.57 / $465.10 / $669.74	Professional		$325.57	$465.10	$669.74
United Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $444.22 / $444.22	Facility		$444.22	$444.22	$444.22
United Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $232.04 / $369.87	Professional		$202.00	$232.04	$369.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $278.64 / $325.57	Professional		$278.64	$278.64	$325.57