Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $199.60 / $351.70	Professional		$159.50	$199.60	$351.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.73 / $251.73 / $257.25	Professional		$251.73	$251.73	$257.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $325.44	Facility		$263.45	$263.45	$325.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $263.45	Professional		$223.93	$223.93	$263.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.97 / $340.68 / $408.81	Professional		$264.97	$340.68	$408.81
United Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $192.10 / $312.13	Professional		$162.55	$192.10	$312.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.46 / $247.46 / $321.75	Professional		$247.46	$247.46	$321.75