Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $143.08 / $240.53	Professional		$125.93	$143.08	$240.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $210.33	Professional		$165.00	$165.00	$210.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $159.56 / $218.57	Professional		$159.56	$159.56	$218.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.38 / $307.68 / $443.06	Professional		$215.38	$307.68	$443.06
United Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $153.50 / $244.69	Professional		$130.85	$153.50	$244.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $180.50 / $215.38	Professional		$180.50	$180.50	$215.38