Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $110.75 / $198.14	Professional		$103.74	$110.75	$198.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $141.50 / $173.26	Professional		$141.50	$141.50	$173.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $122.64	Professional		$122.64	$122.64	$122.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.42 / $253.46 / $364.98	Professional		$177.42	$253.46	$364.98
United Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $126.45 / $201.56	Professional		$104.60	$126.45	$201.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $138.99 / $177.42	Professional		$138.99	$138.99	$177.42