Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $111.37 / $483.36	Professional		$90.21	$111.37	$483.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $98.82 / $119.57	Professional		$97.21	$98.82	$119.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.87 / $666.87 / $666.87	Facility		$666.87	$666.87	$666.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $140.99 / $360.47	Professional		$88.75	$140.99	$360.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $120.55 / $194.14	Professional		$93.45	$120.55	$194.14
United Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $198.35 / $432.98	Professional		$87.93	$198.35	$432.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $93.45 / $134.15	Professional		$93.45	$93.45	$134.15