Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $141.80 / $226.60	Professional		$118.64	$141.80	$226.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $176.35 / $198.15	Professional		$176.35	$176.35	$198.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $229.28	Professional		$128.90	$128.90	$229.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $289.86 / $417.40	Professional		$202.90	$289.86	$417.40
United Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $144.61 / $230.51	Professional		$119.63	$144.61	$230.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $158.94 / $202.90	Professional		$36.20	$158.94	$202.90