Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $209.74 / $382.40	Professional		$174.46	$209.74	$382.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $234.69 / $286.27	Professional		$233.49	$234.69	$286.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $238.86 / $327.20	Professional		$238.86	$238.86	$327.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $418.79 / $603.05	Professional		$293.14	$418.79	$603.05
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $278.57 / $321.95	Facility		$160.97	$278.57	$321.95
United Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $218.90 / $331.31	Professional		$189.71	$218.90	$331.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $253.42 / $293.14	Professional		$253.42	$253.42	$293.14