Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $198.25 / $323.24	Professional		$173.49	$198.25	$323.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.95 / $245.95 / $276.37	Professional		$245.95	$245.95	$276.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $195.60 / $267.94	Professional		$195.60	$195.60	$267.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.01 / $404.30 / $582.19	Professional		$283.01	$404.30	$582.19
United Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $207.77 / $319.83	Professional		$184.60	$207.77	$319.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.91 / $223.91 / $283.01	Professional		$223.91	$223.91	$283.01