Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $131.38 / $133.16	Professional		$117.19	$131.38	$133.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $142.05 / $193.19	Professional		$127.80	$142.05	$193.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $85.23 / $85.23	Facility		$85.23	$85.23	$85.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $169.34 / $255.03	Professional		$81.02	$169.34	$255.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $221.95 / $266.33	Professional		$177.56	$221.95	$266.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $84.34 / $161.58	Professional		$74.58	$84.34	$161.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $71.02 / $88.78	Professional		$69.25	$71.02	$88.78