Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $100.64 / $154.25	Professional		$80.76	$100.64	$154.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.27 / $131.27 / $134.88	Professional		$131.27	$131.27	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $127.07 / $127.07	Facility		$106.02	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $92.76	Professional		$92.76	$92.76	$92.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $197.31 / $284.13	Professional		$138.12	$197.31	$284.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.39 / $156.91	Professional		$77.62	$100.39	$156.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $108.86 / $138.12	Professional		$75.00	$108.86	$138.12