Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $363.08	Professional		$173.78	$229.09	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Professional		$269.15	$269.15	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Professional		$194.98	$194.98	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $616.60	Professional		$288.40	$416.87	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $302.00 / $309.03	Facility		$204.17	$302.00	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $323.59	Professional		$181.97	$208.93	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40