Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $122.18 / $169.08	Professional		$107.52	$122.18	$169.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $158.94 / $246.36	Professional		$154.47	$158.94	$246.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $172.00 / $250.00	Facility		$139.44	$172.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $141.68 / $246.39	Professional		$107.07	$141.68	$246.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $139.13 / $198.34	Professional		$109.51	$139.13	$198.34
United Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $127.68 / $238.72	Professional		$96.18	$127.68	$238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $130.60 / $167.48	Professional		$95.52	$130.60	$167.48