Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $106.38 / $174.17	Professional		$90.47	$106.38	$174.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.07 / $116.07 / $191.52	Professional		$116.07	$116.07	$191.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $132.90	Facility		$132.90	$132.90	$132.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $140.55 / $235.34	Professional		$97.29	$140.55	$235.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $139.56 / $193.70	Professional		$109.49	$139.56	$193.70
United Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $123.60 / $219.24	Professional		$93.77	$123.60	$219.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $137.76 / $179.69	Professional		$119.79	$137.76	$179.69