Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.20 / $128.04 / $129.77	Professional		$114.20	$128.04	$129.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $138.41 / $188.25	Professional		$124.58	$138.41	$188.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $91.71 / $91.71	Facility		$91.71	$91.71	$91.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $199.07 / $248.83	Professional		$91.71	$199.07	$248.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $216.29 / $259.55	Professional		$173.03	$216.29	$259.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $81.31 / $157.44	Professional		$72.67	$81.31	$157.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $304.00 / $380.00	Professional		$296.39	$304.00	$380.00