Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $163.16 / $266.04	Professional		$142.78	$163.16	$266.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.75 / $185.75 / $227.46	Professional		$185.75	$185.75	$227.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $220.51	Professional		$160.97	$160.97	$220.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.92 / $332.74 / $479.15	Professional		$232.92	$332.74	$479.15
United Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $170.99 / $263.23	Professional		$152.90	$170.99	$263.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $185.45 / $232.92	Professional		$185.45	$185.45	$232.92