Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $269.15 / $338.84	Professional		$3.98	$269.15	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $331.13	Professional		$257.04	$288.40	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $251.19 / $467.74	Facility		$234.42	$251.19	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $512.86	Professional		$190.55	$407.38	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $537.03	Professional		$338.84	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $354.81	Facility		$151.36	$169.82	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $346.74	Professional		$151.36	$169.82	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.27 / $537.03	Professional		$3.39	$4.27	$537.03