Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $206.81 / $367.18	Professional		$165.49	$206.81	$367.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.57 / $306.57 / $306.57	Professional		$306.57	$306.57	$306.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $319.16	Facility		$243.17	$243.17	$319.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $206.69 / $292.92	Professional		$206.69	$206.69	$292.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $311.77 / $394.33	Professional		$242.49	$311.77	$394.33
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $216.57 / $342.35	Professional		$185.44	$216.57	$342.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.32 / $293.32 / $296.26	Professional		$293.32	$293.32	$296.26