Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.47 / $82.93 / $157.52	Professional		$82.47	$82.93	$157.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $137.75	Professional		$108.00	$108.00	$137.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $144.01	Facility		$144.01	$144.01	$144.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $144.01	Professional		$105.13	$105.13	$144.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $201.50 / $290.16	Professional		$141.05	$201.50	$290.16
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $100.52 / $160.24	Professional		$78.19	$100.52	$160.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $103.89 / $141.05	Professional		$103.89	$103.89	$141.05