Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $184.97 / $317.83	Professional		$166.41	$184.97	$317.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $277.94	Professional		$218.00	$218.00	$277.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $218.27	Professional		$159.34	$159.34	$218.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.61 / $406.59 / $585.49	Professional		$284.61	$406.59	$585.49
United Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $202.84 / $323.32	Professional		$152.13	$202.84	$323.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.21 / $202.21 / $284.61	Professional		$202.21	$202.21	$284.61