Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $153.06 / $269.67	Professional		$52.40	$153.06	$269.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $61.18 / $69.94	Professional		$48.10	$61.18	$69.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Facility		$114.60	$114.60	$114.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $146.76 / $323.99	Professional		$51.89	$146.76	$323.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.32 / $203.21 / $362.56	Professional		$156.32	$203.21	$362.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $170.33 / $287.05	Professional		$125.49	$170.33	$287.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $179.77 / $221.85	Professional		$41.18	$179.77	$221.85