Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $101.90 / $180.16	Professional		$101.83	$101.90	$180.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $170.19	Professional		$134.00	$134.00	$170.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $104.35 / $142.94	Professional		$104.35	$104.35	$142.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $248.97 / $358.52	Professional		$174.28	$248.97	$358.52
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $124.21 / $197.98	Professional		$84.57	$124.21	$197.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $119.83 / $174.28	Professional		$119.83	$119.83	$174.28