Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $111.81 / $158.09	Professional		$86.42	$111.81	$158.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $123.75 / $143.00	Professional		$123.75	$123.75	$143.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $112.73	Facility		$112.00	$112.73	$112.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $95.82 / $112.73	Professional		$95.82	$95.82	$112.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $197.80 / $246.87	Professional		$169.47	$197.80	$246.87
United Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $102.85 / $170.23	Professional		$76.40	$102.85	$170.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $162.08 / $162.08	Professional		$151.22	$162.08	$162.08