Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $172.68 / $474.46	Professional		$105.29	$172.68	$474.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $122.40 / $158.52	Professional		$117.98	$122.40	$158.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $350.42 / $350.42	Facility		$350.42	$350.42	$350.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $169.98 / $302.30	Professional		$104.01	$169.98	$302.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.24 / $202.75 / $343.52	Professional		$159.24	$202.75	$343.52
United Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $185.47 / $291.74	Professional		$137.71	$185.47	$291.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $226.27	Professional		$129.47	$129.47	$226.27