Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.98 / $252.92 / $742.26	Professional		$236.98	$252.92	$742.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $221.04 / $570.00	Professional		$221.04	$221.04	$570.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,132.89 / $2,132.89 / $2,132.89	Facility		$2,132.89	$2,132.89	$2,132.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.14 / $266.14 / $529.04	Professional		$181.14	$266.14	$529.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.84 / $250.05 / $462.42	Professional		$193.84	$250.05	$462.42
United Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $237.71 / $425.56	Professional		$183.95	$237.71	$425.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.48 / $173.48 / $280.11	Professional		$173.48	$173.48	$280.11