Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.84 / $119.79 / $121.41	Professional		$106.84	$119.79	$121.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $107.44 / $129.18	Professional		$71.09	$107.44	$129.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $91.75 / $209.48	Facility		$47.73	$91.75	$209.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $75.84 / $222.28	Professional		$47.73	$75.84	$222.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.79 / $194.26 / $242.82	Professional		$153.79	$194.26	$242.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $72.84 / $101.98	Professional		$42.27	$72.84	$101.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $80.94 / $128.69	Professional		$63.13	$80.94	$128.69