Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $107.65 / $184.81	Professional		$96.76	$107.65	$184.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $143.84 / $161.62	Professional		$143.84	$143.84	$161.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $186.35	Professional		$98.72	$98.72	$186.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $236.42 / $340.44	Professional		$165.49	$236.42	$340.44
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $117.95 / $188.01	Professional		$97.58	$117.95	$188.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $129.65 / $165.49	Professional		$129.65	$129.65	$165.49