Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.51 / $185.58 / $188.09	Professional		$165.51	$185.58	$188.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $200.62 / $272.83	Professional		$180.56	$200.62	$272.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $175.23 / $324.52	Facility		$132.91	$175.23	$324.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $239.05 / $360.34	Professional		$124.57	$239.05	$360.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $313.48 / $376.17	Professional		$250.78	$313.48	$376.17
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $137.93 / $205.97	Professional		$89.18	$137.93	$205.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.80 / $125.39 / $241.16	Professional		$97.80	$125.39	$241.16