Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $122.55 / $124.21	Professional		$109.30	$122.55	$124.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $136.66 / $201.28	Professional		$119.88	$136.66	$201.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $108.85 / $214.31	Facility		$86.32	$108.85	$214.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $137.27 / $254.68	Professional		$86.32	$137.27	$254.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $207.01 / $248.42	Professional		$165.61	$207.01	$248.42
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $82.84 / $150.69	Professional		$69.56	$82.84	$150.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $82.81 / $132.60	Professional		$64.59	$82.81	$132.60