Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $380.19	Professional		$190.55	$234.42	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Professional		$257.04	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $660.69	Professional		$309.03	$446.68	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $309.03	Facility		$263.03	$302.00	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $346.74	Professional		$194.98	$223.87	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $371.54	Professional		$239.88	$239.88	$371.54