Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.85 / $236.48 / $377.89	Professional		$197.85	$236.48	$377.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $269.86 / $330.46	Professional		$269.86	$269.86	$330.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $228.35 / $312.81	Professional		$228.35	$228.35	$312.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.39 / $483.41 / $696.11	Professional		$338.39	$483.41	$696.11
United Facility/Professional Professional Modifier Low / Median / High Price $199.54 / $241.17 / $384.42	Professional		$199.54	$241.17	$384.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $265.13 / $338.39	Professional		$150.00	$265.13	$338.39