Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $177.75 / $269.45	Professional		$140.52	$177.75	$269.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $230.38	Professional		$181.00	$181.00	$230.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $221.07	Professional		$161.38	$161.38	$221.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.91 / $337.02 / $485.31	Professional		$235.91	$337.02	$485.31
United Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $168.85 / $266.62	Professional		$151.82	$168.85	$266.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $235.91	Professional		$192.64	$192.64	$235.91