Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $210.92 / $213.77	Professional		$188.12	$210.92	$213.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $179.57 / $227.45	Professional		$93.36	$179.57	$227.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $128.81 / $368.85	Facility		$66.98	$128.81	$368.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $107.49 / $349.09	Professional		$65.31	$107.49	$349.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.77 / $342.04 / $427.55	Professional		$270.77	$342.04	$427.55
United Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $128.26 / $174.44	Professional		$59.35	$128.26	$174.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $142.52 / $226.60	Professional		$111.16	$142.52	$226.60