Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $184.57 / $330.20	Professional		$161.94	$184.57	$330.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $207.72 / $253.39	Professional		$199.00	$207.72	$253.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $239.78	Professional		$175.04	$175.04	$239.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $370.68 / $533.78	Professional		$259.48	$370.68	$533.78
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $194.99 / $293.24	Professional		$173.37	$194.99	$293.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.29 / $224.29 / $259.48	Professional		$224.29	$224.29	$259.48