Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $143.79 / $392.78	Professional		$93.64	$143.79	$392.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $139.34 / $159.27	Professional		$122.99	$139.34	$159.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.04 / $90.04 / $90.04	Facility		$90.04	$90.04	$90.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $188.14 / $369.30	Professional		$110.75	$188.14	$369.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $225.12 / $376.31	Professional		$174.51	$225.12	$376.31
United Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $189.30 / $328.48	Professional		$131.94	$189.30	$328.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $200.69 / $247.32	Professional		$145.99	$200.69	$247.32