Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $105.20 / $289.76	Professional		$67.84	$105.20	$289.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $82.00 / $116.71	Professional		$63.40	$82.00	$116.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $119.52 / $205.63	Professional		$70.58	$119.52	$205.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $138.13 / $197.92	Professional		$100.46	$138.13	$197.92
United Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $118.45 / $189.73	Professional		$83.40	$118.45	$189.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $118.40 / $177.60	Professional		$79.58	$118.40	$177.60