Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $217.53 / $623.53	Professional		$180.55	$217.53	$623.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $262.10 / $497.99	Professional		$262.10	$262.10	$497.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $289.24 / $470.15	Professional		$194.53	$289.24	$470.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $278.94 / $386.89	Professional		$218.30	$278.94	$386.89
United Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $250.54 / $437.16	Professional		$182.17	$250.54	$437.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.95 / $274.79 / $358.43	Professional		$238.95	$274.79	$358.43