Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.76 / $279.20 / $401.16	Professional		$124.76	$279.20	$401.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $117.25 / $141.87	Professional		$117.25	$117.25	$141.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.87 / $666.87 / $666.87	Facility		$666.87	$666.87	$666.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $225.07 / $445.77	Professional		$108.13	$225.07	$445.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $310.56 / $542.97	Professional		$187.56	$310.56	$542.97
United Facility/Professional Professional Modifier Low / Median / High Price $132.65 / $239.34 / $443.66	Professional		$132.65	$239.34	$443.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $166.43 / $341.16	Professional		$166.43	$166.43	$341.16