Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $126.96 / $196.07	Professional		$72.92	$126.96	$196.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $84.31 / $98.01	Professional		$64.27	$84.31	$98.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $155.78 / $302.27	Professional		$73.43	$155.78	$302.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $220.83 / $361.93	Professional		$166.04	$220.83	$361.93
United Facility/Professional Professional Modifier Low / Median / High Price $117.07 / $170.88 / $338.44	Professional		$117.07	$170.88	$338.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $190.95 / $236.02	Professional		$94.13	$190.95	$236.02