Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $316.23	Professional		$154.88	$223.87	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $316.23	Professional		$245.47	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $295.12	Professional		$218.78	$218.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $691.83	Professional		$323.59	$467.74	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $275.42	Facility		$162.18	$269.15	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $354.81	Professional		$204.17	$234.42	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $389.05	Professional		$218.78	$218.78	$389.05