Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $155.08 / $247.84	Professional		$129.76	$155.08	$247.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $216.73	Professional		$170.00	$170.00	$216.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.94 / $317.05 / $456.55	Professional		$221.94	$317.05	$456.55
United Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $158.16 / $252.13	Professional		$134.06	$158.16	$252.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $221.94	Professional		$189.95	$189.95	$221.94