Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $158.96 / $575.54	Professional		$117.68	$158.96	$575.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $124.59 / $142.41	Professional		$122.09	$124.59	$142.41
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 $116.39 / $179.71 / $375.87	Professional		$116.39	$179.71	$375.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.42 / $226.66 / $373.99	Professional		$170.42	$226.66	$373.99
United Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $187.52 / $316.19	Professional		$139.86	$187.52	$316.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $195.98 / $242.31	Professional		$125.10	$195.98	$242.31