Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $110.10 / $170.92	Professional		$91.13	$110.10	$170.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $152.22	Professional		$119.00	$119.00	$152.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $126.23	Facility		$126.23	$126.23	$126.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $126.23	Professional		$92.15	$92.15	$126.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $222.67 / $320.64	Professional		$155.87	$222.67	$320.64
United Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $111.09 / $177.08	Professional		$82.88	$111.09	$177.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $110.12 / $155.87	Professional		$110.12	$110.12	$155.87