Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $312.57 / $560.35	Professional		$111.40	$312.57	$560.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $133.58 / $152.68	Professional		$101.23	$133.58	$152.68
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 $105.09 / $256.00 / $558.54	Professional		$105.09	$256.00	$558.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $373.35 / $669.96	Professional		$256.77	$373.35	$669.96
United Facility/Professional Professional Modifier Low / Median / High Price $248.45 / $345.10 / $553.01	Professional		$248.45	$345.10	$553.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $332.83 / $412.35	Professional		$266.58	$332.83	$412.35