Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $198.55 / $356.66	Professional		$161.75	$198.55	$356.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $253.80 / $261.42	Professional		$253.80	$253.80	$261.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $330.59	Facility		$267.62	$267.62	$330.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $227.48 / $302.31	Professional		$227.48	$227.48	$302.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.26 / $346.19 / $415.42	Professional		$269.26	$346.19	$415.42
United Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $210.33 / $350.55	Professional		$163.88	$210.33	$350.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.50 / $249.50 / $326.95	Professional		$249.50	$249.50	$326.95