Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $110.10 / $187.58	Professional		$43.65	$110.10	$187.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $49.27 / $73.41	Professional		$34.71	$49.27	$73.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $71.19	Facility		$71.19	$71.19	$71.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $122.57 / $222.54	Professional		$45.33	$122.57	$222.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $156.02 / $233.40	Professional		$113.47	$156.02	$233.40
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $141.12 / $219.57	Professional		$109.41	$141.12	$219.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.11 / $167.05 / $185.61	Professional		$136.11	$167.05	$185.61