Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $174.54 / $423.29	Professional		$144.47	$174.54	$423.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $241.32	Professional		$189.00	$189.00	$241.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $229.50	Professional		$167.54	$167.54	$229.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $353.01 / $508.33	Professional		$247.11	$353.01	$508.33
United Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $176.11 / $280.72	Professional		$144.10	$176.11	$280.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.35 / $204.18 / $247.11	Professional		$200.35	$204.18	$247.11