Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $272.14 / $693.76	Professional		$144.88	$272.14	$693.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $144.11 / $195.39	Professional		$144.11	$144.11	$195.39
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 $139.37 / $271.67 / $521.07	Professional		$139.37	$271.67	$521.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $361.33 / $643.25	Professional		$280.10	$361.33	$643.25
United Facility/Professional Professional Modifier Low / Median / High Price $215.49 / $325.86 / $560.94	Professional		$215.49	$325.86	$560.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.30 / $322.12 / $397.20	Professional		$219.30	$322.12	$397.20