Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $215.45 / $365.42	Professional		$189.68	$215.45	$365.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $289.16	Professional		$227.00	$227.00	$289.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $293.77	Professional		$214.45	$214.45	$293.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.10 / $423.00 / $609.12	Professional		$296.10	$423.00	$609.12
United Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $222.52 / $334.64	Professional		$197.75	$222.52	$334.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.97 / $255.97 / $296.10	Professional		$255.97	$255.97	$296.10