Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $125.64 / $317.27	Professional		$80.67	$125.64	$317.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $87.00 / $124.01	Professional		$72.09	$87.00	$124.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $139.99 / $241.82	Professional		$84.94	$139.99	$241.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $164.46 / $229.69	Professional		$116.62	$164.46	$229.69
United Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $137.90 / $221.54	Professional		$95.41	$137.90	$221.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $137.55 / $206.33	Professional		$99.43	$137.55	$206.33