Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $262.33 / $357.52	Professional		$214.73	$262.33	$357.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.83 / $312.83 / $348.88	Professional		$312.83	$312.83	$348.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $146.85 / $172.77	Professional		$146.85	$146.85	$172.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.09 / $473.98 / $600.11	Professional		$406.09	$473.98	$600.11
United Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $249.21 / $383.40	Professional		$179.24	$249.21	$383.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $325.58 / $433.84	Professional		$325.58	$325.58	$433.84