Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.99 / $264.58 / $268.17	Professional		$235.99	$264.58	$268.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $321.80 / $437.65	Professional		$289.62	$321.80	$437.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $235.01 / $462.70	Facility		$189.51	$235.01	$462.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $340.84 / $629.09	Professional		$181.10	$340.84	$629.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $446.95 / $536.34	Professional		$357.56	$446.95	$536.34
United Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $205.41 / $325.37	Professional		$160.90	$205.41	$325.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $178.78 / $350.94	Professional		$139.44	$178.78	$350.94