Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $316.23	Professional		$151.36	$204.17	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $275.42	Professional		$263.03	$263.03	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $302.00	Professional		$257.04	$257.04	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $602.56	Professional		$281.84	$398.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $263.03	Facility		$208.93	$257.04	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $309.03	Professional		$177.83	$204.17	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $331.13	Professional		$204.17	$204.17	$331.13