Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $129.54 / $515.73	Professional		$101.93	$129.54	$515.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.37 / $112.96 / $129.11	Professional		$111.37	$112.96	$129.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $52.87 / $52.87	Facility		$52.87	$52.87	$52.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $153.78 / $313.97	Professional		$99.17	$153.78	$313.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $165.70 / $281.56	Professional		$128.44	$165.70	$281.56
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $152.79 / $293.04	Professional		$109.71	$152.79	$293.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $147.72 / $183.51	Professional		$96.77	$147.72	$183.51