Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $124.81 / $237.07	Professional		$124.12	$124.81	$237.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Professional		$124.80	$124.80	$124.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.28 / $303.26 / $436.69	Professional		$212.28	$303.26	$436.69
United Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $151.30 / $241.16	Professional		$118.83	$151.30	$241.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $163.91 / $212.28	Professional		$163.91	$163.91	$212.28