Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $182.01 / $296.77	Professional		$145.69	$182.01	$296.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $208.01 / $253.74	Professional		$199.00	$208.01	$253.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $203.51	Professional		$148.56	$148.56	$203.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $371.19 / $534.51	Professional		$259.83	$371.19	$534.51
United Facility/Professional Professional Modifier Low / Median / High Price $162.47 / $188.88 / $293.64	Professional		$162.47	$188.88	$293.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $197.15 / $259.83	Professional		$197.15	$197.15	$259.83