Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $151.15 / $306.74	Professional		$109.53	$151.15	$306.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $182.95	Professional		$178.04	$178.04	$182.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $142.00	Professional		$103.66	$103.66	$142.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $267.62 / $385.37	Professional		$187.33	$267.62	$385.37
United Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $134.59 / $212.82	Professional		$122.20	$134.59	$212.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $147.88 / $187.33	Professional		$40.50	$147.88	$187.33