Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.44 / $225.23 / $356.10	Professional		$186.44	$225.23	$356.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $254.30 / $311.39	Professional		$254.30	$254.30	$311.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Facility		$297.02	$297.02	$297.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $216.82 / $297.02	Professional		$216.82	$216.82	$297.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.87 / $455.53 / $655.96	Professional		$318.87	$455.53	$655.96
United Facility/Professional Professional Modifier Low / Median / High Price $192.61 / $227.26 / $362.25	Professional		$192.61	$227.26	$362.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.91 / $272.91 / $318.87	Professional		$272.91	$272.91	$318.87