Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $389.05	Professional		$173.78	$302.00	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $323.59 / $363.08	Professional		$295.12	$323.59	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $144.54	Professional		$131.83	$131.83	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $616.60	Professional		$407.38	$467.74	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $309.03	Facility		$104.71	$169.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $229.09	Professional		$104.71	$112.20	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17