Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $398.11	Professional		$263.03	$309.03	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $338.84	Professional		$269.15	$302.00	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $218.78	Professional		$199.53	$199.53	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $562.34	Professional		$371.54	$426.58	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $169.82 / $302.00	Professional		$158.49	$169.82	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21