Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $125.70 / $206.93	Professional		$108.34	$125.70	$206.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $180.95	Professional		$142.00	$142.00	$180.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $165.40	Professional		$120.74	$120.74	$165.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $264.70 / $381.17	Professional		$185.29	$264.70	$381.17
United Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $132.05 / $210.50	Professional		$114.97	$132.05	$210.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.59 / $158.59 / $185.29	Professional		$158.59	$158.59	$185.29