Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $141.63 / $244.80	Professional		$111.74	$141.63	$244.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $209.95 / $209.95	Professional		$209.95	$209.95	$209.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Facility		$166.31	$166.31	$218.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $141.36 / $196.56	Professional		$141.36	$141.36	$196.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.54 / $214.12 / $269.08	Professional		$166.54	$214.12	$269.08
United Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $147.79 / $255.71	Professional		$127.66	$147.79	$255.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.99 / $190.99 / $202.08	Professional		$190.99	$190.99	$202.08