Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $380.19	Professional		$251.19	$288.40	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $323.59	Professional		$257.04	$281.84	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $537.03	Professional		$354.81	$407.38	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $269.15	Facility		$147.91	$147.91	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $288.40	Professional		$147.91	$158.49	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83