Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $96.83 / $260.14	Professional		$62.19	$96.83	$260.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $71.02 / $96.82	Professional		$54.21	$71.02	$96.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $107.68 / $184.39	Professional		$65.73	$107.68	$184.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $126.15 / $181.15	Professional		$91.81	$126.15	$181.15
United Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $109.57 / $204.86	Professional		$70.68	$109.57	$204.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $107.92 / $161.88	Professional		$74.40	$107.92	$161.88