Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $132.49 / $218.08	Professional		$114.18	$132.49	$218.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.32 / $174.32 / $174.32	Facility		$174.32	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.25 / $127.25 / $174.32	Professional		$127.25	$127.25	$174.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.28 / $278.97 / $401.72	Professional		$195.28	$278.97	$401.72
United Facility/Professional Professional Modifier Low / Median / High Price $117.95 / $139.18 / $221.84	Professional		$117.95	$139.18	$221.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.19 / $167.19 / $195.28	Professional		$167.19	$167.19	$195.28