Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $238.99 / $242.22	Professional		$213.15	$238.99	$242.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $261.60 / $290.66 / $395.30	Professional		$261.60	$290.66	$395.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $212.27 / $417.93	Facility		$171.17	$212.27	$417.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $307.83 / $568.14	Professional		$163.68	$307.83	$568.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $403.70 / $484.44	Professional		$322.95	$403.70	$484.44
United Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $186.45 / $352.80	Professional		$145.33	$186.45	$352.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $161.47 / $316.98	Professional		$125.95	$161.47	$316.98