Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.08 / $192.37 / $349.47	Professional		$150.08	$192.37	$349.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.12 / $262.12 / $268.18	Professional		$262.12	$262.12	$268.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.61 / $392.30 / $564.91	Professional		$274.61	$392.30	$564.91
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $226.68 / $261.98	Facility		$130.99	$226.68	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $205.50 / $310.35	Professional		$176.71	$205.50	$310.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $206.21 / $274.61	Professional		$206.21	$206.21	$274.61