Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $159.65 / $4,815.52	Professional		$115.23	$159.65	$4,815.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $303.42 / $303.42	Professional		$303.42	$303.42	$303.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $267.20 / $371.21	Professional		$217.48	$267.20	$371.21
United Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $244.82 / $376.59	Professional		$150.06	$244.82	$376.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.04 / $303.30 / $303.30	Professional		$301.04	$303.30	$303.30