Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $117.18 / $202.60	Professional		$109.88	$117.18	$202.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $195.73	Professional		$154.00	$154.00	$195.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.23	Professional		$121.35	$121.35	$166.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $286.32 / $412.30	Professional		$200.42	$286.32	$412.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $142.84 / $227.68	Professional		$100.49	$142.84	$227.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $138.61 / $200.42	Professional		$138.61	$138.61	$200.42