Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $154.59 / $253.23	Professional		$137.34	$154.59	$253.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $258.20	Professional		$203.00	$203.00	$258.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $180.71	Professional		$131.91	$131.91	$180.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $377.71 / $543.90	Professional		$264.39	$377.71	$543.90
United Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $188.44 / $300.37	Professional		$144.28	$188.44	$300.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $173.26 / $264.39	Professional		$173.26	$173.26	$264.39