Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $229.82 / $868.00	Professional		$205.31	$229.82	$868.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $232.63 / $269.29	Professional		$196.17	$232.63	$269.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $280.33 / $545.63	Professional		$190.59	$280.33	$545.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $277.70 / $481.12	Professional		$215.28	$277.70	$481.12
United Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $242.74 / $409.06	Professional		$178.76	$242.74	$409.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $247.57 / $305.63	Professional		$163.95	$247.57	$305.63