Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $84.89 / $115.68	Professional		$68.26	$84.89	$115.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $105.40 / $146.13	Professional		$88.57	$105.40	$146.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $114.85 / $188.00	Professional		$75.78	$114.85	$188.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $120.22 / $169.71	Professional		$85.87	$120.22	$169.71
United Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $114.50 / $195.76	Professional		$84.81	$114.50	$195.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $135.68 / $150.75	Professional		$110.55	$135.68	$150.75