Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $212.97 / $381.88	Professional		$186.99	$212.97	$381.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $241.91 / $295.08	Professional		$231.00	$241.91	$295.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $279.26	Facility		$279.26	$279.26	$279.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $203.86 / $279.26	Professional		$203.86	$203.86	$279.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $431.68 / $621.62	Professional		$302.18	$431.68	$621.62
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $222.77 / $341.50	Professional		$194.95	$222.77	$341.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $261.22 / $302.18	Professional		$261.22	$261.22	$302.18