Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $235.29 / $600.17	Professional		$100.64	$235.29	$600.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $99.73 / $147.96	Professional		$89.38	$99.73	$147.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $185.65 / $358.42	Professional		$83.96	$185.65	$358.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.28 / $244.68 / $433.78	Professional		$142.28	$244.68	$433.78
United Facility/Professional Professional Modifier Low / Median / High Price $179.26 / $258.42 / $441.19	Professional		$179.26	$258.42	$441.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $189.71 / $270.92	Professional		$189.71	$189.71	$270.92