Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $136.22 / $481.12	Professional		$96.08	$136.22	$481.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $110.55 / $126.36	Professional		$97.31	$110.55	$126.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $350.42 / $350.42	Facility		$350.42	$350.42	$350.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $154.77 / $285.72	Professional		$91.93	$154.77	$285.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $172.77 / $285.19	Professional		$129.90	$172.77	$285.19
United Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $157.03 / $306.06	Professional		$111.31	$157.03	$306.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $149.38 / $186.14	Professional		$101.38	$149.38	$186.14