Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $83.22 / $148.88	Professional		$77.95	$83.22	$148.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $106.32 / $130.19	Professional		$106.32	$106.32	$130.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $81.92	Professional		$81.92	$81.92	$81.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $190.45 / $274.25	Professional		$133.32	$190.45	$274.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $95.02 / $151.46	Professional		$72.06	$95.02	$151.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $104.46 / $133.32	Professional		$104.46	$104.46	$133.32