Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $224.94 / $366.77	Professional		$196.84	$224.94	$366.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $257.08 / $313.58	Professional		$256.08	$257.08	$313.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $294.27 / $294.27	Facility		$294.27	$294.27	$294.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $214.82 / $294.27	Professional		$214.82	$214.82	$294.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.11 / $458.73 / $660.57	Professional		$321.11	$458.73	$660.57
United Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $279.27 / $322.77	Facility		$161.38	$279.27	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $236.73 / $362.91	Professional		$209.46	$236.73	$362.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $254.13 / $321.11	Professional		$254.13	$254.13	$321.11