Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $131.44 / $180.72	Professional		$108.27	$131.44	$180.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $170.46 / $170.46	Professional		$170.46	$170.46	$170.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $148.13 / $174.27	Professional		$19.86	$148.13	$174.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.06 / $273.55 / $332.42	Professional		$235.06	$273.55	$332.42
United Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $142.00 / $202.34	Professional		$99.57	$142.00	$202.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $180.86 / $206.74	Professional		$180.86	$180.86	$206.74