Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $95.43 / $150.72	Professional		$78.91	$95.43	$150.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $103.00 / $131.80	Professional		$103.00	$103.00	$131.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $203.46	Facility		$138.33	$138.33	$203.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $100.98	Professional		$100.98	$100.98	$100.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.96 / $192.80 / $277.63	Professional		$134.96	$192.80	$277.63
United Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $96.19 / $153.32	Professional		$83.73	$96.19	$153.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $115.51 / $134.96	Professional		$115.51	$115.51	$134.96