Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $163.83 / $279.89	Professional		$146.54	$163.83	$279.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $244.75	Professional		$192.00	$192.00	$244.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $227.07	Facility		$227.07	$227.07	$227.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $227.07	Professional		$165.76	$165.76	$227.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.62 / $358.03 / $515.55	Professional		$250.62	$358.03	$515.55
United Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $178.62 / $284.70	Professional		$155.50	$178.62	$284.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $214.50 / $250.62	Professional		$214.50	$214.50	$250.62