Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $150.27 / $237.59	Professional		$124.39	$150.27	$237.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $207.76	Professional		$163.00	$163.00	$207.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $189.91	Professional		$138.63	$138.63	$189.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $303.93 / $437.66	Professional		$212.75	$303.93	$437.66
United Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $151.62 / $241.68	Professional		$136.90	$151.62	$241.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $182.08 / $212.75	Professional		$182.08	$182.08	$212.75