Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $154.93 / $359.86	Professional		$149.97	$154.93	$359.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $195.48 / $216.37	Professional		$189.30	$195.48	$216.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.40 / $1,267.40 / $1,267.40	Facility		$1,267.40	$1,267.40	$1,267.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.06 / $230.71 / $469.51	Professional		$158.06	$230.71	$469.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $252.10 / $406.38	Professional		$189.55	$252.10	$406.38
United Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $199.75 / $357.99	Professional		$147.25	$199.75	$357.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $217.98 / $268.61	Professional		$161.18	$217.98	$268.61