Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $129.36 / $411.97	Professional		$81.75	$129.36	$411.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $87.00 / $124.37	Professional		$69.41	$87.00	$124.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $138.47 / $235.80	Professional		$82.43	$138.47	$235.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $160.22 / $223.46	Professional		$114.97	$160.22	$223.46
United Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $132.97 / $216.72	Professional		$89.81	$132.97	$216.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.36 / $133.82 / $200.73	Professional		$95.36	$133.82	$200.73