Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $125.12 / $179.73	Professional		$94.10	$125.12	$179.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $212.40 / $212.40	Professional		$184.78	$212.40	$212.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $211.82	Professional		$154.63	$154.63	$211.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $190.32 / $285.48	Professional		$133.22	$190.32	$285.48
United Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $171.55 / $268.17	Professional		$132.90	$171.55	$268.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $186.39 / $186.39	Professional		$133.22	$186.39	$186.39