Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.15 / $154.90 / $156.99	Professional		$138.15	$154.90	$156.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $146.52 / $195.84	Professional		$129.60	$146.52	$195.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $137.57 / $270.87	Facility		$87.74	$137.57	$270.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $139.38 / $300.45	Professional		$87.74	$139.38	$300.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.32 / $261.64 / $313.98	Professional		$209.32	$261.64	$313.98
United Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $94.19 / $159.08	Professional		$78.50	$94.19	$159.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $104.66 / $166.41	Professional		$81.63	$104.66	$166.41