Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $166.13 / $472.16	Professional		$151.13	$166.13	$472.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $146.05 / $214.71	Professional		$141.85	$146.05	$214.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,173.57 / $3,173.57 / $3,173.57	Facility		$3,173.57	$3,173.57	$3,173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $178.78 / $339.52	Professional		$126.88	$178.78	$339.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $179.31 / $294.12	Professional		$139.00	$179.31	$294.12
United Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $168.37 / $276.66	Professional		$121.97	$168.37	$276.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $111.21 / $194.85	Professional		$111.21	$111.21	$194.85