Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $142.27 / $227.73	Professional		$117.76	$142.27	$227.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $196.69	Professional		$154.00	$154.00	$196.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.30 / $225.30 / $225.30	Facility		$225.30	$225.30	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $225.30	Professional		$164.47	$164.47	$225.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.41 / $287.73 / $414.33	Professional		$201.41	$287.73	$414.33
United Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $143.54 / $228.81	Professional		$129.61	$143.54	$228.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.38 / $172.38 / $201.41	Professional		$172.38	$172.38	$201.41