Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $87.38 / $165.96	Professional		$86.89	$87.38	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $114.00 / $145.13	Professional		$114.00	$114.00	$145.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $120.06	Facility		$120.06	$120.06	$120.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $87.64 / $120.06	Professional		$87.64	$87.64	$120.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $212.31 / $305.73	Professional		$148.62	$212.31	$305.73
United Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $105.92 / $168.85	Professional		$71.70	$105.92	$168.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $101.61 / $148.62	Professional		$101.61	$101.61	$148.62