Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $369.46 / $706.56	Professional		$143.88	$369.46	$706.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $143.91 / $164.50	Professional		$138.51	$143.91	$164.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.59 / $345.39 / $752.59	Professional		$132.59	$345.39	$752.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.45 / $505.60 / $871.94	Professional		$372.45	$505.60	$871.94
United Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $380.88 / $666.19	Professional		$240.67	$380.88	$666.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $450.73 / $554.69	Professional		$277.08	$450.73	$554.69