Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $175.00 / $285.35	Professional		$125.12	$175.00	$285.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $191.00 / $243.96	Professional		$191.00	$191.00	$243.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $174.77	Professional		$127.58	$127.58	$174.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $356.88 / $513.91	Professional		$249.82	$356.88	$513.91
United Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $178.24 / $282.33	Professional		$139.54	$178.24	$282.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $169.24 / $249.82	Professional		$169.24	$169.24	$249.82