Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $146.86 / $225.71	Professional		$116.00	$146.86	$225.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $156.05 / $190.35	Professional		$149.00	$156.05	$190.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $177.64	Professional		$129.68	$129.68	$177.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $278.45 / $400.98	Professional		$194.92	$278.45	$400.98
United Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $145.87 / $220.29	Professional		$125.44	$145.87	$220.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $168.50 / $194.92	Professional		$168.50	$168.50	$194.92