Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $136.44 / $229.89	Professional		$120.36	$136.44	$229.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $201.03	Professional		$158.00	$158.00	$201.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.78 / $190.78 / $190.78	Facility		$190.78	$190.78	$190.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $190.78	Professional		$139.27	$139.27	$190.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.85 / $294.07 / $423.46	Professional		$205.85	$294.07	$423.46
United Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $146.71 / $233.85	Professional		$117.61	$146.71	$233.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $156.27 / $205.85	Professional		$156.27	$156.27	$205.85