Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $363.08	Professional		$186.21	$234.42	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Professional		$223.87	$223.87	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $645.65	Professional		$302.00	$426.58	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $323.59	Facility		$275.42	$316.23	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $331.13	Professional		$190.55	$213.80	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Professional		$251.19	$251.19	$354.81