Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $175.50 / $288.89	Professional		$151.25	$175.50	$288.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $252.62	Professional		$198.00	$198.00	$252.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.92 / $230.92 / $230.92	Facility		$230.92	$230.92	$230.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $230.92	Professional		$168.57	$168.57	$230.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $369.55 / $532.15	Professional		$258.69	$369.55	$532.15
United Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $184.37 / $293.88	Professional		$166.47	$184.37	$293.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.41 / $221.41 / $258.69	Professional		$221.41	$221.41	$258.69