Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $214.09 / $349.08	Professional		$187.34	$214.09	$349.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $255.09 / $298.45	Professional		$255.09	$255.09	$298.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $232.40 / $318.35	Professional		$232.40	$232.40	$318.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.62 / $436.60 / $628.70	Professional		$305.62	$436.60	$628.70
United Facility/Professional Professional Modifier Low / Median / High Price $196.66 / $219.58 / $341.15	Professional		$196.66	$219.58	$341.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $241.80 / $305.62	Professional		$241.80	$241.80	$305.62