Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $90.53 / $160.86	Professional		$84.22	$90.53	$160.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $114.87 / $114.87	Professional		$114.87	$114.87	$114.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $107.35	Professional		$107.35	$107.35	$107.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $205.77 / $296.31	Professional		$144.04	$205.77	$296.31
United Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $102.66 / $163.63	Professional		$84.99	$102.66	$163.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $112.41 / $144.04	Professional		$112.41	$112.41	$144.04