Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $168.78 / $286.23	Professional		$149.86	$168.78	$286.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $250.29	Professional		$196.00	$196.00	$250.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $243.89	Facility		$243.89	$243.89	$243.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $178.04	Professional		$178.04	$178.04	$178.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $366.14 / $527.24	Professional		$256.30	$366.14	$527.24
United Facility/Professional Professional Modifier Low / Median / High Price $150.28 / $182.66 / $291.16	Professional		$150.28	$182.66	$291.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.93 / $212.93 / $256.30	Professional		$212.93	$212.93	$256.30