Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.54 / $190.10 / $339.10	Professional		$177.54	$190.10	$339.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $296.52	Professional		$233.00	$233.00	$296.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $184.40	Professional		$184.40	$184.40	$184.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $433.78 / $624.64	Professional		$303.64	$433.78	$624.64
United Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $216.41 / $344.95	Professional		$173.86	$216.41	$344.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.83 / $239.83 / $303.64	Professional		$239.83	$239.83	$303.64