Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $119.29 / $199.35	Professional		$104.37	$119.29	$199.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $125.41 / $152.97	Professional		$120.00	$125.41	$152.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Facility		$169.96	$169.96	$169.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $124.07 / $124.07	Professional		$124.07	$124.07	$124.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $223.79 / $322.26	Professional		$156.65	$223.79	$322.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $126.14 / $177.04	Professional		$100.81	$126.14	$177.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $135.41 / $156.65	Professional		$135.41	$135.41	$156.65