Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $92.29 / $149.22	Professional		$78.13	$92.29	$149.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $130.50	Professional		$102.00	$102.00	$130.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $87.08	Professional		$87.08	$87.08	$87.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $190.90 / $274.89	Professional		$133.63	$190.90	$274.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $95.24 / $151.80	Professional		$79.81	$95.24	$151.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $114.38 / $133.63	Professional		$114.38	$114.38	$133.63