Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.03 / $192.08 / $923.19	Professional		$172.03	$192.08	$923.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $188.22 / $254.87	Professional		$180.46	$188.22	$254.87
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 $162.43 / $234.28 / $436.53	Professional		$162.43	$234.28	$436.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $225.02 / $367.74	Professional		$169.19	$225.02	$367.74
United Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $206.57 / $348.11	Professional		$151.81	$206.57	$348.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $194.57 / $244.23	Professional		$140.41	$194.57	$244.23