Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $174.85 / $550.07	Professional		$163.00	$174.85	$550.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.56 / $203.60 / $263.58	Professional		$197.56	$203.60	$263.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $171.97 / $171.97	Facility		$171.97	$171.97	$171.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $243.19 / $460.75	Professional		$171.23	$243.19	$460.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $241.62 / $396.37	Professional		$187.30	$241.62	$396.37
United Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $218.19 / $367.68	Professional		$161.41	$218.19	$367.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $215.40 / $260.77	Professional		$179.56	$215.40	$260.77