Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $132.85 / $199.58	Professional		$104.49	$132.85	$199.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.00 / $184.00 / $184.00	Professional		$184.00	$184.00	$184.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $221.81 / $332.72	Professional		$155.27	$221.81	$332.72
United Facility/Professional Professional Modifier Low / Median / High Price $154.26 / $170.84 / $257.36	Professional		$154.26	$170.84	$257.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $194.27 / $194.27	Professional		$139.28	$194.27	$194.27