Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.98 / $220.96 / $333.60	Professional		$177.98	$220.96	$333.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.55 / $327.55 / $327.55	Professional		$327.55	$327.55	$327.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $265.97	Facility		$265.97	$265.97	$265.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $226.07 / $265.97	Professional		$226.07	$226.07	$265.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.25 / $351.32 / $425.13	Professional		$273.25	$351.32	$425.13
United Facility/Professional Professional Modifier Low / Median / High Price $199.93 / $233.47 / $369.04	Professional		$199.93	$233.47	$369.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.97 / $297.97 / $323.57	Professional		$297.97	$297.97	$323.57