Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $212.77 / $346.91	Professional		$186.21	$212.77	$346.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $263.98 / $296.61	Professional		$263.98	$263.98	$296.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $209.36	Professional		$209.36	$209.36	$209.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.73 / $433.90 / $624.82	Professional		$303.73	$433.90	$624.82
United Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $218.22 / $339.03	Professional		$195.46	$218.22	$339.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.32 / $240.32 / $303.73	Professional		$240.32	$240.32	$303.73