Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $126.76 / $352.42	Professional		$86.40	$126.76	$352.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $100.63 / $116.43	Professional		$73.16	$100.63	$116.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $68.22	Facility		$68.22	$68.22	$68.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $143.83 / $286.81	Professional		$87.90	$143.83	$286.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $165.08 / $273.80	Professional		$124.12	$165.08	$273.80
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $145.66 / $255.61	Professional		$106.83	$145.66	$255.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $142.74 / $176.84	Professional		$96.98	$142.74	$176.84