Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.96 / $114.99 / $295.45	Professional		$92.96	$114.99	$295.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $191.60 / $318.06	Professional		$157.46	$191.60	$318.06
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 $96.99 / $139.44 / $235.34	Professional		$96.99	$139.44	$235.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $139.90 / $231.89	Professional		$109.49	$139.90	$231.89
United Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $125.91 / $199.53	Professional		$91.36	$125.91	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $137.76 / $179.69	Professional		$119.79	$137.76	$179.69