Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $214.92 / $325.99	Professional		$175.94	$214.92	$325.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.07 / $295.07 / $295.20	Professional		$295.07	$295.07	$295.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $240.34	Facility		$240.34	$240.34	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $204.29 / $240.34	Professional		$204.29	$204.29	$240.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.83 / $434.82 / $578.30	Professional		$368.83	$434.82	$578.30
United Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $218.48 / $364.50	Professional		$170.41	$218.48	$364.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $266.77 / $355.47	Professional		$266.77	$266.77	$355.47