Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $151.29 / $217.34	Professional		$113.79	$151.29	$217.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.42 / $256.85 / $256.85	Professional		$223.42	$256.85	$256.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Facility		$278.10	$278.10	$278.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $203.01 / $278.10	Professional		$203.01	$203.01	$278.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $230.13 / $345.20	Professional		$161.09	$230.13	$345.20
United Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $203.47 / $324.33	Professional		$160.69	$203.47	$324.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $225.38 / $225.38	Professional		$161.09	$225.38	$225.38