Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $196.35 / $323.20	Professional		$169.22	$196.35	$323.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $282.64	Professional		$222.00	$222.00	$282.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $273.20	Professional		$199.44	$199.44	$273.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.42 / $413.46 / $595.38	Professional		$289.42	$413.46	$595.38
United Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $206.27 / $328.79	Professional		$186.25	$206.27	$328.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $247.71 / $289.42	Professional		$247.71	$247.71	$289.42