Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $111.10 / $538.29	Professional		$103.69	$111.10	$538.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.49 / $131.49 / $150.29	Professional		$131.49	$131.49	$150.29
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 $95.27 / $149.47 / $281.62	Professional		$95.27	$149.47	$281.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $155.38 / $242.41	Professional		$116.83	$155.38	$242.41
United Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $128.44 / $221.36	Professional		$95.46	$128.44	$221.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $134.35 / $161.12	Professional		$92.15	$134.35	$161.12