Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $407.38	Professional		$251.19	$302.00	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $302.00 / $354.81	Professional		$275.42	$302.00	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $489.78	Facility		$199.53	$251.19	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $549.54	Professional		$199.53	$436.52	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $575.44	Professional		$363.08	$398.11	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $181.97 / $380.19	Facility		$158.49	$181.97	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $371.54	Professional		$158.49	$177.83	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $575.44	Professional		$147.91	$190.55	$575.44