Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $116.06 / $174.09	Professional		$90.71	$116.06	$174.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $122.02 / $148.85	Professional		$117.00	$122.02	$148.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $102.82	Professional		$102.82	$102.82	$102.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $217.74 / $313.55	Professional		$152.41	$217.74	$313.55
United Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $112.37 / $172.25	Professional		$98.08	$112.37	$172.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $131.76 / $152.41	Professional		$131.76	$131.76	$152.41