Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $231.83 / $347.75	Professional		$181.18	$231.83	$347.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $243.74 / $297.32	Professional		$233.00	$243.74	$297.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.77 / $271.77 / $271.77	Facility		$271.77	$271.77	$271.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $198.39 / $271.77	Professional		$198.39	$198.39	$271.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.45 / $434.94 / $626.30	Professional		$304.45	$434.94	$626.30
United Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $221.32 / $344.07	Professional		$195.92	$221.32	$344.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.18 / $263.18 / $304.45	Professional		$263.18	$263.18	$304.45