Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $442.30 / $822.34	Professional		$102.27	$442.30	$822.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.09 / $133.13	Professional		$92.09	$92.09	$133.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $111.46 / $111.46	Facility		$111.46	$111.46	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $226.15 / $935.69	Professional		$99.05	$226.15	$935.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $580.35 / $962.78	Professional		$149.71	$580.35	$962.78
United Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $511.17 / $980.96	Professional		$98.40	$511.17	$980.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $403.72 / $713.21	Professional		$92.28	$403.72	$713.21