Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $119.48 / $209.78	Professional		$101.12	$119.48	$209.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $221.51 / $221.51	Professional		$214.02	$221.51	$221.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $169.65	Facility		$126.72	$126.72	$169.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $107.71 / $155.83	Professional		$107.71	$107.71	$155.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.59 / $174.52 / $244.32	Professional		$128.59	$174.52	$244.32
United Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $189.14 / $294.95	Professional		$114.27	$189.14	$294.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $148.40 / $156.15	Professional		$148.40	$148.40	$156.15