Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $230.06 / $622.72	Professional		$198.01	$230.06	$622.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $205.29 / $234.48	Professional		$204.68	$205.29	$234.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $1,745.52	Facility		$1,745.52	$1,745.52	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $270.95 / $594.10	Professional		$189.48	$270.95	$594.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $294.70 / $471.89	Professional		$221.58	$294.70	$471.89
United Facility/Professional Professional Modifier Low / Median / High Price $189.45 / $274.58 / $501.25	Professional		$189.45	$274.58	$501.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.71 / $254.82 / $316.05	Professional		$146.71	$254.82	$316.05