Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $146.38 / $457.06	Professional		$91.52	$146.38	$457.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $102.63 / $118.62	Professional		$76.92	$102.63	$118.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.81 / $108.81 / $108.81	Facility		$108.81	$108.81	$108.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $164.40 / $317.67	Professional		$89.30	$164.40	$317.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $230.29 / $378.55	Professional		$173.15	$230.29	$378.55
United Facility/Professional Professional Modifier Low / Median / High Price $122.69 / $161.19 / $296.58	Professional		$122.69	$161.19	$296.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $199.12 / $246.24	Professional		$98.50	$199.12	$246.24