Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.36 / $232.25 / $691.77	Professional		$147.36	$232.25	$691.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $157.16 / $179.64	Professional		$133.18	$157.16	$179.64
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 $150.13 / $236.86 / $506.33	Professional		$150.13	$236.86	$506.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.61 / $304.05 / $510.24	Professional		$228.61	$304.05	$510.24
United Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $261.12 / $441.72	Professional		$195.50	$261.12	$441.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $262.89 / $325.74	Professional		$185.57	$262.89	$325.74