Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $117.66 / $564.98	Professional		$108.94	$117.66	$564.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $144.00	Professional		$125.00	$125.00	$144.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.01 / $392.01 / $392.01	Facility		$392.01	$392.01	$392.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $150.99 / $295.73	Professional		$100.51	$150.99	$295.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $163.35 / $257.16	Professional		$122.82	$163.35	$257.16
United Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $139.04 / $250.01	Professional		$96.88	$139.04	$250.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $141.24 / $169.41	Professional		$102.96	$141.24	$169.41