Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.85 / $200.35 / $316.77	Professional		$165.85	$200.35	$316.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $277.00	Professional		$217.00	$217.00	$277.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.20 / $253.20 / $253.20	Facility		$253.20	$253.20	$253.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $184.84 / $253.20	Professional		$184.84	$184.84	$253.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $405.22 / $583.52	Professional		$283.64	$405.22	$583.52
United Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $202.16 / $322.23	Professional		$171.34	$202.16	$322.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $242.77 / $283.64	Professional		$242.77	$242.77	$283.64