Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $197.88 / $322.44	Professional		$163.80	$197.88	$322.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.47 / $243.47 / $273.58	Professional		$243.47	$243.47	$273.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $319.57	Professional		$170.35	$170.35	$319.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $400.22 / $576.32	Professional		$280.14	$400.22	$576.32
United Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $199.66 / $318.26	Professional		$140.94	$199.66	$318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $218.71 / $280.14	Professional		$40.50	$218.71	$280.14