Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $186.70 / $364.51	Professional		$145.91	$186.70	$364.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $239.44	Professional		$188.00	$188.00	$239.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $243.19 / $243.19	Facility		$243.19	$243.19	$243.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $177.53 / $243.19	Professional		$177.53	$177.53	$243.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.18 / $350.26 / $504.37	Professional		$245.18	$350.26	$504.37
United Facility/Professional Professional Modifier Low / Median / High Price $157.78 / $174.74 / $274.66	Professional		$157.78	$174.74	$274.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.96 / $211.96 / $245.18	Professional		$211.96	$211.96	$245.18