Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $116.93 / $153.59	Professional		$82.66	$116.93	$153.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.45 / $189.45 / $189.45	Professional		$189.45	$189.45	$189.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.25 / $180.25	Facility		$72.00	$180.25	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $143.16 / $240.74	Professional		$100.99	$143.16	$240.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $185.32 / $258.54	Professional		$151.68	$185.32	$258.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $167.09 / $201.85	Professional		$100.46	$167.09	$201.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $108.43	Professional		$10.50	$10.50	$108.43