Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $187.72 / $242.23	Professional		$114.40	$187.72	$242.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.27 / $169.27 / $243.75	Professional		$169.27	$169.27	$243.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $220.41 / $306.66	Professional		$170.31	$220.41	$306.66
United Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $152.69 / $152.69	Facility		$152.69	$152.69	$152.69
United Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $209.29 / $364.57	Professional		$152.69	$209.29	$364.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $248.99 / $276.66	Professional		$202.88	$248.99	$276.66