Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.30 / $118.75 / $175.36	Professional		$101.30	$118.75	$175.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $171.15	Professional		$145.00	$145.00	$171.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $130.69 / $153.77	Professional		$18.44	$130.69	$153.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $221.42 / $294.49	Professional		$187.82	$221.42	$294.49
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $123.03 / $205.15	Professional		$84.29	$123.03	$205.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.90 / $196.35	Professional		$159.56	$159.90	$196.35