Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $187.04 / $307.89	Professional		$161.19	$187.04	$307.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $211.00 / $269.23	Professional		$211.00	$211.00	$269.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $179.66 / $246.11	Professional		$179.66	$179.66	$246.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $393.85 / $567.14	Professional		$275.70	$393.85	$567.14
United Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $196.49 / $313.20	Professional		$171.05	$196.49	$313.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.96 / $235.96 / $275.70	Professional		$235.96	$235.96	$275.70