Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $302.00	Professional		$112.20	$158.49	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $436.52	Professional		$407.38	$407.38	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $436.52	Professional		$208.93	$275.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $380.19 / $389.05	Facility		$199.53	$380.19	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $389.05	Professional		$151.36	$239.88	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00