Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $141.37 / $252.94	Professional		$132.43	$141.37	$252.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $221.19	Professional		$173.00	$173.00	$221.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $268.08	Professional		$195.70	$195.70	$268.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.50 / $323.57 / $465.94	Professional		$226.50	$323.57	$465.94
United Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $161.41 / $257.31	Professional		$145.75	$161.41	$257.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.85 / $193.85 / $226.50	Professional		$193.85	$193.85	$226.50