Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $297.04 / $616.33	Professional		$127.88	$297.04	$616.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $162.29	Professional		$141.99	$141.99	$162.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.31 / $835.31 / $835.31	Facility		$835.31	$835.31	$835.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.03 / $265.20 / $487.77	Professional		$121.03	$265.20	$487.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $358.43 / $634.72	Professional		$263.39	$358.43	$634.72
United Facility/Professional Professional Modifier Low / Median / High Price $206.58 / $299.63 / $505.89	Professional		$206.58	$299.63	$505.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.99 / $319.52 / $393.92	Professional		$211.99	$319.52	$393.92