Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $398.11	Professional		$199.53	$245.47	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $323.59	Professional		$257.04	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $707.95	Professional		$331.13	$467.74	$707.95
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 $208.93 / $234.42 / $363.08	Professional		$208.93	$234.42	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $389.05	Professional		$257.04	$257.04	$389.05