Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $145.50 / $366.60	Professional		$106.31	$145.50	$366.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $120.68 / $167.03	Professional		$100.02	$120.68	$167.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $173.65 / $297.94	Professional		$107.29	$173.65	$297.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.85 / $203.68 / $279.57	Professional		$143.85	$203.68	$279.57
United Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $167.17 / $272.70	Professional		$117.86	$167.17	$272.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $167.17 / $250.76	Professional		$124.12	$167.17	$250.76