Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $128.80 / $230.44	Professional		$120.65	$128.80	$230.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $158.00 / $201.51	Professional		$158.00	$158.00	$201.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $294.77 / $424.48	Professional		$206.35	$294.77	$424.48
United Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $147.07 / $234.42	Professional		$128.03	$147.07	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.68 / $176.68 / $206.35	Professional		$176.68	$176.68	$206.35