Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $207.89 / $347.43	Professional		$167.41	$207.89	$347.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $209.00 / $266.62	Professional		$209.00	$209.00	$266.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.85 / $222.85 / $305.27	Professional		$222.85	$222.85	$305.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.01 / $390.02 / $561.63	Professional		$273.01	$390.02	$561.63
United Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $209.23 / $308.55	Professional		$182.41	$209.23	$308.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.85 / $231.85 / $273.01	Professional		$231.85	$231.85	$273.01