Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $251.19	Professional		$131.83	$173.78	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $251.19	Professional		$190.55	$190.55	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $549.54	Professional		$257.04	$363.08	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $208.93	Facility		$144.54	$204.17	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $281.84	Professional		$162.18	$186.21	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $302.00	Professional		$165.96	$165.96	$302.00