Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $288.40	Professional		$138.04	$165.96	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Professional		$165.96	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $478.63	Professional		$223.87	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $234.42	Facility		$186.21	$229.09	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $245.47	Professional		$141.25	$162.18	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $263.03	Professional		$186.21	$186.21	$263.03