Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $152.13 / $563.00	Professional		$125.41	$152.13	$563.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.02 / $146.65 / $168.10	Professional		$142.02	$146.65	$168.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $199.85 / $413.31	Professional		$137.63	$199.85	$413.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.29 / $236.44 / $396.29	Professional		$183.29	$236.44	$396.29
United Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $193.09 / $388.34	Professional		$127.53	$193.09	$388.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $210.78 / $259.86	Professional		$133.15	$210.78	$259.86