Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.59 / $194.75 / $869.81	Professional		$172.59	$194.75	$869.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $202.34 / $231.27	Professional		$195.29	$202.34	$231.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $244.45 / $538.16	Professional		$170.74	$244.45	$538.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.71 / $264.27 / $427.53	Professional		$198.71	$264.27	$427.53
United Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $231.57 / $405.81	Professional		$155.33	$231.57	$405.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $228.52 / $281.45	Professional		$146.30	$228.52	$281.45