Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $112.01 / $182.63	Professional		$89.92	$112.01	$182.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $156.13	Professional		$122.00	$122.00	$156.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $122.31	Professional		$89.29	$89.29	$122.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $228.41 / $328.91	Professional		$159.88	$228.41	$328.91
United Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $117.87 / $180.70	Professional		$99.38	$117.87	$180.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $118.44 / $159.88	Professional		$118.44	$118.44	$159.88