Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $168.67 / $237.38	Professional		$124.28	$168.67	$237.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $280.93 / $280.93	Professional		$250.57	$280.93	$280.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $227.98 / $312.30	Professional		$227.98	$227.98	$312.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $258.08 / $387.14	Professional		$180.66	$258.08	$387.14
United Facility/Professional Professional Modifier Low / Median / High Price $197.66 / $211.96 / $337.86	Professional		$197.66	$211.96	$337.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $254.13 / $254.13	Professional		$180.66	$254.13	$254.13