Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.53 / $200.14 / $484.33	Professional		$147.53	$200.14	$484.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $147.80 / $205.60	Professional		$115.53	$147.80	$205.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $750.00	Facility		$240.39	$240.39	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $243.60 / $387.87	Professional		$157.97	$243.60	$387.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.43 / $271.74 / $368.54	Professional		$191.43	$271.74	$368.54
United Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $229.53 / $369.46	Professional		$172.86	$229.53	$369.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $216.21 / $324.32	Professional		$183.76	$216.21	$324.32