Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $99.39 / $157.16	Professional		$82.28	$99.39	$157.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $129.49 / $129.49	Professional		$129.49	$129.49	$129.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $91.70 / $182.49	Professional		$91.70	$91.70	$182.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $201.02 / $289.47	Professional		$140.71	$201.02	$289.47
United Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $100.29 / $159.85	Professional		$90.55	$100.29	$159.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.15 / $120.44 / $140.71	Professional		$85.15	$120.44	$140.71