Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $163.00 / $244.50	Professional		$127.40	$163.00	$244.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $171.39 / $209.06	Professional		$164.00	$171.39	$209.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $197.02	Professional		$143.82	$143.82	$197.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $305.82 / $440.38	Professional		$214.07	$305.82	$440.38
United Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Facility		$136.63	$136.63	$136.63
United Facility/Professional Professional Modifier Low / Median / High Price $137.76 / $152.57 / $241.94	Professional		$137.76	$152.57	$241.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $185.11 / $214.07	Professional		$185.11	$185.11	$214.07