Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $199.28 / $271.60	Professional		$144.00	$199.28	$271.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.65 / $237.65 / $265.05	Professional		$237.65	$237.65	$265.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $238.16	Facility		$238.16	$238.16	$238.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.44 / $202.44 / $274.02	Professional		$202.44	$202.44	$274.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.41 / $348.96 / $418.75	Professional		$271.41	$348.96	$418.75
United Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $193.43 / $306.73	Professional		$136.22	$193.43	$306.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $227.89 / $329.57	Professional		$210.49	$227.89	$329.57