Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $178.21 / $318.83	Professional		$166.93	$178.21	$318.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.69 / $227.69 / $278.80	Professional		$227.69	$227.69	$278.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $233.26	Facility		$233.26	$233.26	$233.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $170.28	Professional		$170.28	$170.28	$170.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $407.85 / $587.29	Professional		$285.50	$407.85	$587.29
United Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $203.47 / $324.33	Professional		$168.32	$203.47	$324.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.64 / $223.64 / $285.50	Professional		$223.64	$223.64	$285.50