Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $140.24 / $189.51	Professional		$125.08	$140.24	$189.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $119.39 / $151.22	Professional		$33.29	$119.39	$151.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $67.20 / $245.24	Facility		$34.96	$67.20	$245.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $67.22 / $232.11	Professional		$35.95	$67.22	$232.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $227.41 / $284.27	Professional		$180.03	$227.41	$284.27
United Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $85.28 / $115.98	Professional		$20.64	$85.28	$115.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $94.76 / $150.66	Professional		$73.91	$94.76	$150.66