Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $207.16 / $334.04	Professional		$164.88	$207.16	$334.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $208.00 / $265.68	Professional		$208.00	$208.00	$265.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $296.00 / $296.00	Facility		$235.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $301.92	Professional		$216.08	$216.08	$301.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $388.65 / $559.66	Professional		$272.06	$388.65	$559.66
United Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $203.58 / $310.66	Professional		$181.78	$203.58	$310.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $250.17 / $278.11	Professional		$250.17	$250.17	$278.11