Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $171.07 / $257.18	Professional		$140.09	$171.07	$257.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $204.05 / $227.50	Professional		$204.05	$204.05	$227.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $240.50	Facility		$240.50	$240.50	$240.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $204.43 / $240.50	Professional		$26.88	$204.43	$240.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $346.25 / $460.52	Professional		$293.70	$346.25	$460.52
United Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $201.20 / $320.57	Professional		$132.22	$201.20	$320.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.07 / $232.07 / $288.20	Professional		$232.07	$232.07	$288.20