Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $107.75 / $280.00	Professional		$70.04	$107.75	$280.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $79.98 / $109.96	Professional		$61.06	$79.98	$109.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $123.03 / $210.76	Professional		$74.34	$123.03	$210.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $143.16 / $205.24	Professional		$104.61	$143.16	$205.24
United Facility/Professional Professional Modifier Low / Median / High Price $85.74 / $121.81 / $197.77	Professional		$85.74	$121.81	$197.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $122.80 / $184.20	Professional		$84.33	$122.80	$184.20