Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $164.06 / $302.20	Professional		$158.22	$164.06	$302.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $264.27	Professional		$207.00	$207.00	$264.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.87 / $215.87 / $215.87	Facility		$215.87	$215.87	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $157.59 / $215.87	Professional		$157.59	$157.59	$215.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.61 / $386.59 / $556.69	Professional		$270.61	$386.59	$556.69
United Facility/Professional Professional Modifier Low / Median / High Price $146.08 / $192.86 / $307.42	Professional		$146.08	$192.86	$307.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.98 / $206.98 / $270.61	Professional		$206.98	$206.98	$270.61