Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $457.09	Professional		$154.88	$363.08	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $436.52	Professional		$346.74	$389.05	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $724.44	Professional		$478.63	$549.54	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $363.08	Facility		$87.10	$204.17	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $208.93	Professional		$87.10	$93.33	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $380.19	Professional		$239.88	$380.19	$380.19