Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $229.57 / $267.33	Professional		$200.93	$229.57	$267.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $261.94 / $390.29	Professional		$20.00	$261.94	$390.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.44 / $283.31 / $559.04	Professional		$215.44	$283.31	$559.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.13 / $277.23 / $383.84	Professional		$216.13	$277.23	$383.84
United Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $250.05 / $489.37	Professional		$182.90	$250.05	$489.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $145.03 / $145.03	Professional		$145.03	$145.03	$145.03