Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.25 / $179.61 / $475.94	Professional		$125.25	$179.61	$475.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $155.50 / $179.82	Professional		$150.59	$155.50	$179.82
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 $138.46 / $212.18 / $475.01	Professional		$138.46	$212.18	$475.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $273.30 / $455.67	Professional		$211.86	$273.30	$455.67
United Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $205.80 / $335.64	Professional		$132.97	$205.80	$335.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $243.64 / $300.14	Professional		$140.76	$243.64	$300.14