Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $166.96 / $424.67	Professional		$139.68	$166.96	$424.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $167.23 / $191.15	Professional		$151.00	$167.23	$191.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $204.63 / $390.61	Professional		$143.33	$204.63	$390.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $210.91 / $339.81	Professional		$158.58	$210.91	$339.81
United Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $185.91 / $357.59	Professional		$131.06	$185.91	$357.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $182.37 / $225.41	Professional		$136.79	$182.37	$225.41