Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $142.24 / $195.20	Professional		$113.30	$142.24	$195.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $199.70 / $199.70	Professional		$199.70	$199.70	$199.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $152.03	Professional		$152.03	$152.03	$152.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $257.14 / $325.56	Professional		$207.64	$257.14	$325.56
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $147.84 / $249.92	Professional		$109.44	$147.84	$249.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.57 / $197.50 / $202.22	Professional		$194.57	$197.50	$202.22