Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.61 / $178.82 / $808.75	Professional		$151.61	$178.82	$808.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $171.52 / $196.05	Professional		$148.38	$171.52	$196.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.21 / $693.21 / $693.21	Facility		$693.21	$693.21	$693.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $239.73 / $447.14	Professional		$155.97	$239.73	$447.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.63 / $252.36 / $413.52	Professional		$195.63	$252.36	$413.52
United Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $219.09 / $391.03	Professional		$144.07	$219.09	$391.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $224.97 / $277.61	Professional		$126.78	$224.97	$277.61