Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $229.09 / $613.96	Professional		$156.40	$229.09	$613.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $184.06 / $216.92	Professional		$141.55	$184.06	$216.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $139.16 / $139.16	Facility		$139.16	$139.16	$139.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $262.86 / $501.81	Professional		$164.18	$262.86	$501.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $293.49 / $509.07	Professional		$227.51	$293.49	$509.07
United Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $254.41 / $435.93	Professional		$185.39	$254.41	$435.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $261.64 / $322.77	Professional		$185.71	$261.64	$322.77