Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $152.76 / $376.04	Professional		$65.63	$152.76	$376.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $74.16 / $84.76	Professional		$58.15	$74.16	$84.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.88 / $111.88 / $111.88	Facility		$111.88	$111.88	$111.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $144.33 / $303.49	Professional		$65.68	$144.33	$303.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $190.82 / $342.90	Professional		$131.25	$190.82	$342.90
United Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $169.67 / $294.70	Professional		$118.03	$169.67	$294.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.77 / $170.11 / $209.57	Professional		$123.77	$170.11	$209.57