Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $209.26 / $368.69	Professional		$168.44	$209.26	$368.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $281.33	Professional		$221.00	$221.00	$281.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.02 / $264.44 / $264.44	Facility		$261.02	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $193.04 / $264.44	Professional		$193.04	$193.04	$264.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.08 / $411.55 / $592.63	Professional		$288.08	$411.55	$592.63
United Facility/Professional Professional Modifier Low / Median / High Price $182.88 / $205.32 / $327.27	Professional		$182.88	$205.32	$327.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $246.56 / $288.08	Professional		$142.36	$246.56	$288.08