Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $128.07 / $179.37	Professional		$98.58	$128.07	$179.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $189.70 / $189.86 / $189.86	Professional		$189.70	$189.86	$189.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $126.46	Facility		$123.98	$123.98	$126.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $105.38 / $123.98	Professional		$105.38	$105.38	$123.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $228.20 / $282.44	Professional		$195.51	$228.20	$282.44
United Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $118.45 / $204.46	Professional		$97.01	$118.45	$204.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $173.21	Professional		$160.00	$160.00	$173.21