Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $124.37 / $382.00	Professional		$80.22	$124.37	$382.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.42 / $87.00 / $121.56	Professional		$68.42	$87.00	$121.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $132.08 / $226.77	Professional		$81.88	$132.08	$226.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $156.18 / $214.17	Professional		$110.24	$156.18	$214.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $128.19 / $207.92	Professional		$84.87	$128.19	$207.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $128.22 / $192.33	Professional		$94.69	$128.22	$192.33