Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $141.01 / $660.30	Professional		$121.68	$141.01	$660.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $136.96 / $171.89	Professional		$136.75	$136.96	$171.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $175.64 / $385.53	Professional		$126.03	$175.64	$385.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $170.88 / $271.47	Professional		$128.47	$170.88	$271.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $156.99 / $320.56	Professional		$114.26	$156.99	$320.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $147.75 / $183.83	Professional		$106.49	$147.75	$183.83