Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $168.18 / $292.74	Professional		$148.77	$168.18	$292.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.32 / $181.32 / $207.25	Professional		$181.32	$181.32	$207.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.08 / $220.08 / $220.08	Facility		$220.08	$220.08	$220.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $211.83 / $392.49	Professional		$146.97	$211.83	$392.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.35 / $215.93 / $339.76	Professional		$162.35	$215.93	$339.76
United Facility/Professional Professional Modifier Low / Median / High Price $137.04 / $184.20 / $310.39	Professional		$137.04	$184.20	$310.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $186.70 / $230.88	Professional		$125.05	$186.70	$230.88