Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $231.20 / $688.19	Professional		$143.44	$231.20	$688.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $140.78 / $160.91	Professional		$120.95	$140.78	$160.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $110.13 / $110.13	Facility		$110.13	$110.13	$110.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.54 / $220.70 / $437.10	Professional		$134.54	$220.70	$437.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $282.23 / $491.00	Professional		$216.82	$282.23	$491.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.26 / $252.83 / $450.61	Professional		$180.26	$252.83	$450.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.62 / $249.34 / $308.04	Professional		$168.62	$249.34	$308.04