Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.08 / $203.83 / $315.35	Professional		$171.08	$203.83	$315.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $232.95 / $284.17	Professional		$223.00	$232.95	$284.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $166.64 / $228.28	Professional		$166.64	$166.64	$228.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $415.69 / $598.59	Professional		$290.98	$415.69	$598.59
United Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $207.38 / $324.81	Professional		$187.25	$207.38	$324.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.06 / $221.06 / $290.98	Professional		$221.06	$221.06	$290.98