Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $122.74 / $619.76	Professional		$117.44	$122.74	$619.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.92 / $127.29 / $145.49	Professional		$117.92	$127.29	$145.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.15 / $333.15 / $333.15	Facility		$333.15	$333.15	$333.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.19 / $156.57 / $366.40	Professional		$116.19	$156.57	$366.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $156.12 / $250.96	Professional		$117.38	$156.12	$250.96
United Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $151.28 / $296.19	Professional		$103.02	$151.28	$296.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $134.99 / $168.80	Professional		$93.31	$134.99	$168.80