Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $124.34 / $199.59	Professional		$99.34	$124.34	$199.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $134.00 / $139.88	Professional		$134.00	$134.00	$139.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $138.76	Facility		$138.76	$138.76	$138.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $101.29 / $138.76	Professional		$101.29	$101.29	$138.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $249.63 / $359.47	Professional		$174.74	$249.63	$359.47
United Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $128.81 / $197.47	Professional		$110.79	$128.81	$197.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $134.38 / $174.74	Professional		$134.38	$134.38	$174.74