Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $133.31 / $335.64	Professional		$106.17	$133.31	$335.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $158.76 / $317.52	Professional		$158.76	$158.76	$317.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Facility		$152.16	$152.16	$152.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $161.28 / $293.18	Professional		$111.21	$161.28	$293.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $166.09 / $266.39	Professional		$125.10	$166.09	$266.39
United Facility/Professional Professional Modifier Low / Median / High Price $106.27 / $147.88 / $237.56	Professional		$106.27	$147.88	$237.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $157.38 / $205.29	Professional		$136.86	$157.38	$205.29