Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $99.72 / $164.15	Professional		$85.94	$99.72	$164.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $143.54	Professional		$113.00	$113.00	$143.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $101.95 / $139.66	Professional		$101.95	$101.95	$139.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $209.97 / $302.36	Professional		$146.97	$209.97	$302.36
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.75 / $166.97	Professional		$91.20	$104.75	$166.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $125.80 / $146.97	Professional		$125.80	$125.80	$146.97