Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $173.12 / $435.98	Professional		$156.65	$173.12	$435.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $161.36 / $295.00	Professional		$150.07	$161.36	$295.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,616.30 / $4,616.30 / $4,616.30	Facility		$4,616.30	$4,616.30	$4,616.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $177.70 / $354.04	Professional		$130.47	$177.70	$354.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $184.39 / $305.82	Professional		$142.94	$184.39	$305.82
United Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $173.90 / $307.39	Professional		$123.06	$173.90	$307.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.38 / $110.38 / $200.31	Professional		$110.38	$110.38	$200.31