Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $210.24 / $305.10	Professional		$169.69	$210.24	$305.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $187.89 / $280.00	Professional		$187.89	$187.89	$280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $202.46 / $202.46	Facility		$202.46	$202.46	$202.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.01 / $239.33 / $483.95	Professional		$181.01	$239.33	$483.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.82 / $219.10 / $324.83	Professional		$188.82	$219.10	$324.83
United Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $214.24 / $374.84	Professional		$155.62	$214.24	$374.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $199.84 / $272.51	Professional		$149.56	$199.84	$272.51