Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $145.36 / $260.07	Professional		$136.16	$145.36	$260.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $291.31 / $291.31 / $291.31	Professional		$291.31	$291.31	$291.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $227.96	Professional		$166.41	$166.41	$227.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $332.68 / $479.06	Professional		$232.88	$332.68	$479.06
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $165.97 / $264.55	Professional		$128.74	$165.97	$264.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $182.41 / $232.88	Professional		$182.41	$182.41	$232.88