Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $179.79 / $295.95	Professional		$154.94	$179.79	$295.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $258.80	Professional		$203.00	$203.00	$258.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.57 / $236.57 / $236.57	Facility		$236.57	$236.57	$236.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $172.70 / $236.57	Professional		$172.70	$172.70	$236.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.01 / $378.59 / $545.16	Professional		$265.01	$378.59	$545.16
United Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $188.88 / $301.07	Professional		$160.08	$188.88	$301.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $214.72 / $265.01	Professional		$214.72	$214.72	$265.01