Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $213.44 / $295.06	Professional		$155.30	$213.44	$295.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $203.00 / $259.39	Professional		$203.00	$203.00	$259.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $379.44 / $546.39	Professional		$265.61	$379.44	$546.39
United Facility/Professional Professional Modifier Low / Median / High Price $170.92 / $189.30 / $301.75	Professional		$170.92	$189.30	$301.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $227.33 / $265.61	Professional		$78.00	$227.33	$265.61