Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $194.03 / $433.33	Professional		$157.28	$194.03	$433.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $225.89 / $232.46 / $383.56	Professional		$225.89	$232.46	$383.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $220.40 / $395.78	Professional		$170.34	$220.40	$395.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $229.60 / $328.01	Professional		$179.15	$229.60	$328.01
United Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $187.75 / $351.35	Professional		$141.56	$187.75	$351.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $218.97 / $284.27	Professional		$142.32	$218.97	$284.27