Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $227.77 / $375.52	Professional		$173.66	$227.77	$375.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $317.14 / $317.14	Professional		$317.14	$317.14	$317.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $325.88	Facility		$243.42	$243.42	$325.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $206.91 / $300.83	Professional		$206.91	$206.91	$300.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.62 / $304.83 / $415.13	Professional		$224.62	$304.83	$415.13
United Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $234.82 / $360.65	Professional		$182.68	$234.82	$360.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.48 / $292.14 / $292.14	Professional		$268.48	$292.14	$292.14