Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $302.00	Professional		$151.36	$186.21	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $245.47	Professional		$186.21	$186.21	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $537.03	Professional		$251.19	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $239.88 / $245.47	Facility		$208.93	$239.88	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $275.42	Professional		$158.49	$181.97	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $295.12	Professional		$194.98	$194.98	$295.12