Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.97 / $222.33 / $372.22	Professional		$170.97	$222.33	$372.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $329.58 / $329.58	Professional		$329.58	$329.58	$329.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $326.36	Facility		$243.78	$243.78	$326.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $207.21 / $297.33	Professional		$207.21	$207.21	$297.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.13 / $317.45 / $408.17	Professional		$236.13	$317.45	$408.17
United Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $226.27 / $399.00	Professional		$187.15	$226.27	$399.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $289.38 / $295.08	Professional		$277.11	$289.38	$295.08