Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $102.95 / $221.54	Professional		$75.53	$102.95	$221.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $153.30 / $153.30	Professional		$153.30	$153.30	$153.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $93.50	Professional		$93.50	$93.50	$93.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $165.93 / $210.09	Professional		$142.16	$165.93	$210.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $121.52 / $178.16	Professional		$73.62	$121.52	$178.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $124.29 / $130.27	Professional		$124.29	$124.29	$130.27