Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $111.90 / $279.79	Professional		$47.25	$111.90	$279.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $58.97 / $67.41	Professional		$54.48	$58.97	$67.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $109.84 / $240.59	Professional		$48.09	$109.84	$240.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $137.80 / $249.88	Professional		$106.67	$137.80	$249.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $132.63 / $240.23	Professional		$98.03	$132.63	$240.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $122.67 / $151.94	Professional		$94.33	$122.67	$151.94