Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $218.39 / $362.84	Professional		$189.97	$218.39	$362.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $249.00 / $317.29	Professional		$249.00	$249.00	$317.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $352.55	Facility		$352.55	$352.55	$352.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $257.36 / $352.55	Professional		$257.36	$257.36	$352.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.91 / $464.15 / $668.38	Professional		$324.91	$464.15	$668.38
United Facility/Professional Professional Modifier Low / Median / High Price $199.73 / $231.56 / $369.10	Professional		$199.73	$231.56	$369.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $275.51 / $324.91	Professional		$275.51	$275.51	$324.91