Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $211.85 / $407.77	Professional		$177.81	$211.85	$407.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $232.00 / $295.33	Professional		$232.00	$232.00	$295.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $299.52	Facility		$299.52	$299.52	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $218.65 / $299.52	Professional		$218.65	$218.65	$299.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $432.04 / $622.14	Professional		$302.43	$432.04	$622.14
United Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $222.95 / $341.79	Professional		$194.62	$222.95	$341.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $247.10 / $302.43	Professional		$247.10	$247.10	$302.43