Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $108.25 / $143.82	Professional		$87.41	$108.25	$143.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $142.61 / $142.61	Professional		$142.61	$142.61	$142.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Facility		$83.15	$83.15	$83.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $70.68 / $83.15	Professional		$60.70	$70.68	$83.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $184.08 / $220.89	Professional		$143.16	$184.08	$220.89
United Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $113.47 / $180.52	Professional		$84.39	$113.47	$180.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $138.11 / $168.33	Professional		$138.11	$138.11	$168.33