Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $147.90 / $411.78	Professional		$98.46	$147.90	$411.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $106.00 / $147.22	Professional		$84.13	$106.00	$147.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $160.94 / $276.27	Professional		$99.43	$160.94	$276.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $187.25 / $257.69	Professional		$132.46	$187.25	$257.69
United Facility/Professional Professional Modifier Low / Median / High Price $108.59 / $154.87 / $250.49	Professional		$108.59	$154.87	$250.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $154.01 / $231.02	Professional		$115.55	$154.01	$231.02