Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $118.59 / $194.28	Professional		$90.80	$118.59	$194.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $197.97 / $197.97	Professional		$182.07	$197.97	$197.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $123.59	Facility		$123.59	$123.59	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $105.05 / $127.30	Professional		$105.05	$105.05	$127.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $161.97 / $226.75	Professional		$119.34	$161.97	$226.75
United Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $154.44 / $235.28	Professional		$101.08	$154.44	$235.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $149.65 / $149.65	Professional		$144.91	$149.65	$149.65