Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $238.99 / $242.22	Professional		$213.15	$238.99	$242.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.53 / $258.37 / $351.38	Professional		$232.53	$258.37	$351.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $225.68 / $417.93	Facility		$171.17	$225.68	$417.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $209.93 / $463.59	Professional		$171.17	$209.93	$463.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $371.40 / $484.44	Professional		$322.95	$371.40	$484.44
United Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $161.47 / $348.08	Professional		$145.33	$161.47	$348.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $125.95 / $161.47	Professional		$5.95	$125.95	$161.47