Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $177.08 / $288.74	Professional		$154.97	$177.08	$288.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $219.70 / $219.70	Professional		$219.70	$219.70	$219.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $174.73	Professional		$174.73	$174.73	$174.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $361.13 / $520.03	Professional		$252.79	$361.13	$520.03
United Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $189.18 / $285.70	Professional		$162.66	$189.18	$285.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $200.01 / $252.79	Professional		$200.01	$200.01	$252.79