Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $212.17 / $332.08	Professional		$165.82	$212.17	$332.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.00 / $213.00 / $272.11	Professional		$213.00	$213.00	$272.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.16 / $306.16 / $306.16	Facility		$306.16	$306.16	$306.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $223.50 / $306.16	Professional		$223.50	$223.50	$306.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $398.05 / $573.19	Professional		$278.64	$398.05	$573.19
United Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $199.47 / $314.89	Professional		$185.08	$199.47	$314.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.86 / $240.86 / $278.64	Professional		$240.86	$240.86	$278.64