Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $171.39 / $279.47	Professional		$150.01	$171.39	$279.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $187.01 / $238.94	Professional		$187.01	$187.01	$238.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $169.11 / $231.66	Professional		$169.11	$169.11	$231.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $349.53 / $503.32	Professional		$244.67	$349.53	$503.32
United Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $179.65 / $276.52	Professional		$157.44	$179.65	$276.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $193.59 / $244.67	Professional		$193.59	$193.59	$244.67