Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.06 / $239.51 / $388.14	Professional		$179.06	$239.51	$388.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.07 / $189.40 / $216.10	Professional		$189.07	$189.40	$216.10
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 $176.68 / $257.83 / $561.95	Professional		$176.68	$257.83	$561.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.13 / $320.70 / $528.71	Professional		$241.13	$320.70	$528.71
United Facility/Professional Professional Modifier Low / Median / High Price $199.48 / $267.32 / $453.03	Professional		$199.48	$267.32	$453.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $277.30 / $342.36	Professional		$172.06	$277.30	$342.36