Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $216.55 / $361.91	Professional		$189.48	$216.55	$361.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $277.72	Professional		$218.00	$218.00	$277.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.67 / $280.67 / $280.67	Facility		$280.67	$280.67	$280.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $204.89 / $280.67	Professional		$204.89	$204.89	$280.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.38 / $406.26 / $585.01	Professional		$284.38	$406.26	$585.01
United Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $217.23 / $321.39	Professional		$187.40	$217.23	$321.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $284.38	Professional		$245.84	$245.84	$284.38