Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $478.63	Professional		$316.23	$371.54	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $363.08 / $407.38	Professional		$323.59	$363.08	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $676.08	Professional		$446.68	$512.86	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $338.84	Facility		$190.55	$190.55	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $363.08	Professional		$190.55	$204.17	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87