Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $89.54 / $160.21	Professional		$83.88	$89.54	$160.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $140.10	Professional		$114.40	$114.40	$140.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $149.11	Professional		$108.85	$108.85	$149.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $204.94 / $295.11	Professional		$143.46	$204.94	$295.11
United Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $102.25 / $162.97	Professional		$84.96	$102.25	$162.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $112.36 / $143.46	Professional		$112.36	$112.36	$143.46