Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $95.34 / $132.61	Professional		$79.48	$95.34	$132.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $149.66 / $149.66	Professional		$149.66	$149.66	$149.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $120.30	Facility		$120.30	$120.30	$120.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $123.91	Professional		$102.26	$102.26	$123.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $157.62 / $220.67	Professional		$116.14	$157.62	$220.67
United Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $104.17 / $166.39	Professional		$84.98	$104.17	$166.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $141.03	Professional		$123.00	$123.00	$141.03