Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.61 / $132.72 / $235.88	Professional		$122.61	$132.72	$235.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $182.18	Professional		$143.00	$143.00	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $166.52	Professional		$121.56	$121.56	$166.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.55 / $266.50 / $383.76	Professional		$186.55	$266.50	$383.76
United Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $140.19 / $210.84	Professional		$124.65	$140.19	$210.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $161.26 / $186.55	Professional		$161.26	$161.26	$186.55