Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $102.21 / $198.97	Professional		$88.20	$102.21	$198.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $136.54 / $136.54	Professional		$136.54	$136.54	$136.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $111.08 / $156.62	Professional		$111.08	$111.08	$156.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $165.57 / $203.20	Professional		$128.78	$165.57	$203.20
United Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $113.89 / $176.30	Professional		$87.44	$113.89	$176.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $151.79 / $159.02	Professional		$151.79	$151.79	$159.02