Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $103.72 / $308.35	Professional		$62.19	$103.72	$308.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $77.87 / $112.26	Professional		$59.90	$77.87	$112.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $112.74 / $193.67	Professional		$65.73	$112.74	$193.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $131.84 / $190.01	Professional		$95.88	$131.84	$190.01
United Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $117.90 / $213.97	Professional		$78.51	$117.90	$213.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $113.22 / $169.83	Professional		$74.40	$113.22	$169.83