Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $88.23 / $163.16	Professional		$75.31	$88.23	$163.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $125.86 / $125.86	Professional		$125.86	$125.86	$125.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $98.52 / $133.46	Professional		$98.52	$98.52	$133.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $138.96 / $177.92	Professional		$108.08	$138.96	$177.92
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $97.72 / $154.47	Professional		$83.39	$97.72	$154.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $131.88 / $131.88	Professional		$130.43	$131.88	$131.88