Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $99.14 / $173.85	Professional		$78.39	$99.14	$173.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $146.96 / $146.96	Professional		$146.96	$146.96	$146.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $151.61	Facility		$115.51	$115.51	$151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $98.18 / $138.02	Professional		$98.18	$98.18	$138.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $145.91 / $187.61	Professional		$112.78	$145.91	$187.61
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $118.58 / $177.93	Professional		$86.74	$118.58	$177.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $133.69 / $140.29	Professional		$133.34	$133.69	$140.29