Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $103.73 / $203.91	Professional		$79.18	$103.73	$203.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $162.80 / $162.80	Professional		$162.80	$162.80	$162.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $131.69	Facility		$129.12	$129.12	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $109.75 / $131.69	Professional		$109.75	$109.75	$131.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $188.64 / $234.82	Professional		$161.62	$188.64	$234.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $117.29 / $191.75	Professional		$79.61	$117.29	$191.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $160.38 / $160.38	Professional		$139.97	$160.38	$160.38