Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $175.86 / $260.87	Professional		$128.12	$175.86	$260.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $245.16	Professional		$192.00	$192.00	$245.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $170.54	Professional		$124.49	$124.49	$170.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.05 / $358.64 / $516.44	Professional		$251.05	$358.64	$516.44
United Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $181.54 / $283.70	Professional		$142.88	$181.54	$283.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.15 / $165.15 / $251.05	Professional		$165.15	$165.15	$251.05