Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Professional		$90.54	$90.54	$90.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $120.72 / $151.04	Professional		$120.72	$120.72	$151.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $79.34 / $156.22	Facility		$63.98	$79.34	$156.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $126.00 / $422.67	Professional		$63.47	$126.00	$422.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $150.90 / $181.08	Professional		$120.72	$150.90	$181.08
United Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $71.34 / $135.41	Professional		$51.88	$71.34	$135.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $59.61 / $60.36	Professional		$47.08	$59.61	$60.36