Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $123.58 / $227.87	Professional		$122.61	$123.58	$227.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $204.79	Professional		$161.00	$161.00	$204.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $116.74	Professional		$116.74	$116.74	$116.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $299.57 / $431.38	Professional		$209.70	$299.57	$431.38
United Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $149.44 / $238.23	Professional		$115.40	$149.44	$238.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $153.33 / $209.70	Professional		$153.33	$153.33	$209.70