Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $101.52 / $248.30	Professional		$83.55	$101.52	$248.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $79.27 / $109.40	Professional		$70.13	$79.27	$109.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $129.56 / $203.63	Professional		$83.90	$129.56	$203.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $140.47 / $190.30	Professional		$101.27	$140.47	$190.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $115.65 / $186.39	Professional		$89.06	$115.65	$186.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $145.83 / $162.03	Professional		$118.82	$145.83	$162.03