Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.81 / $134.37 / $382.27	Professional		$54.81	$134.37	$382.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $51.04 / $58.34	Professional		$51.04	$51.04	$58.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $42.39	Facility		$42.39	$42.39	$42.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $116.96 / $277.73	Professional		$50.54	$116.96	$277.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $161.94 / $222.16	Professional		$73.04	$161.94	$222.16
United Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $171.70 / $331.34	Professional		$114.11	$171.70	$331.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $105.84 / $183.07	Professional		$55.23	$105.84	$183.07