Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.57 / $183.16 / $327.70	Professional		$171.57	$183.16	$327.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $234.02 / $286.55	Professional		$234.02	$234.02	$286.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $252.01	Facility		$252.01	$252.01	$252.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $252.01	Professional		$183.97	$183.97	$252.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.43 / $419.18 / $603.62	Professional		$293.43	$419.18	$603.62
United Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $209.13 / $333.35	Professional		$173.00	$209.13	$333.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $229.86 / $293.43	Professional		$175.26	$229.86	$293.43