Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $197.09 / $314.70	Professional		$135.32	$197.09	$314.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.26 / $188.26 / $271.08	Professional		$188.26	$188.26	$271.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $241.75 / $336.52	Professional		$186.80	$241.75	$336.52
United Facility/Professional Professional Modifier Low / Median / High Price $164.97 / $225.69 / $399.51	Professional		$164.97	$225.69	$399.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $271.94 / $302.16	Professional		$221.58	$271.94	$302.16