Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $116.05 / $370.00	Professional		$71.22	$116.05	$370.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $77.83 / $112.36	Professional		$62.77	$77.83	$112.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $122.58 / $207.64	Professional		$75.20	$122.58	$207.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.39 / $146.61 / $201.62	Professional		$102.39	$146.61	$201.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $118.97 / $195.21	Professional		$77.81	$118.97	$195.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $120.66 / $180.99	Professional		$87.14	$120.66	$180.99