Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $136.07 / $645.86	Professional		$109.91	$136.07	$645.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $132.94 / $153.13	Professional		$128.75	$132.94	$153.13
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 $120.51 / $177.78 / $369.64	Professional		$120.51	$177.78	$369.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $211.30 / $352.92	Professional		$163.80	$211.30	$352.92
United Facility/Professional Professional Modifier Low / Median / High Price $113.17 / $165.95 / $289.95	Professional		$113.17	$165.95	$289.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $188.37 / $232.25	Professional		$109.54	$188.37	$232.25