Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $157.47 / $256.79	Professional		$116.75	$157.47	$256.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $219.55	Professional		$172.00	$172.00	$219.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.10 / $225.10 / $225.10	Facility		$225.10	$225.10	$225.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $321.17 / $462.48	Professional		$224.82	$321.17	$462.48
United Facility/Professional Facility Modifier Low / Median / High Price $100.32 / $195.31 / $200.64	Facility		$100.32	$195.31	$200.64
United Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $168.24 / $254.07	Professional		$130.21	$168.24	$254.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $157.93 / $224.82	Professional		$157.93	$157.93	$224.82