Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $146.00 / $238.05	Professional		$127.78	$146.00	$238.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.94 / $198.94 / $203.53	Professional		$198.94	$198.94	$203.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $144.75 / $170.29	Professional		$144.75	$144.75	$170.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.42 / $297.74 / $428.75	Professional		$208.42	$297.74	$428.75
United Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $153.02 / $235.54	Professional		$134.11	$153.02	$235.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $208.42	Professional		$164.90	$164.90	$208.42