Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $146.53 / $262.17	Professional		$137.26	$146.53	$262.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $214.22 / $229.25	Professional		$214.22	$214.22	$229.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $192.25	Professional		$140.34	$140.34	$192.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.75 / $335.36 / $482.92	Professional		$234.75	$335.36	$482.92
United Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $167.30 / $266.68	Professional		$130.09	$167.30	$266.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $184.32 / $234.75	Professional		$184.32	$184.32	$234.75