Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.35 / $145.28 / $145.28	Professional		$143.35	$145.28	$145.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $154.97 / $210.76	Professional		$139.47	$154.97	$210.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.32 / $135.36 / $250.68	Facility		$127.32	$135.36	$250.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $120.29 / $354.66	Professional		$102.67	$120.29	$354.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $283.95 / $370.38	Professional		$246.92	$283.95	$370.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $96.86 / $160.50	Professional		$86.36	$96.86	$160.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $75.55 / $96.86	Professional		$45.77	$75.55	$96.86