Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $157.60 / $270.57	Professional		$141.66	$157.60	$270.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $210.55 / $210.55 / $236.61	Professional		$210.55	$210.55	$236.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $197.94	Facility		$197.94	$197.94	$197.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $197.94	Professional		$144.50	$144.50	$197.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $346.12 / $498.41	Professional		$242.28	$346.12	$498.41
United Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $172.67 / $275.23	Professional		$133.94	$172.67	$275.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $189.79 / $242.28	Professional		$139.13	$189.79	$242.28