Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $140.44 / $210.66	Professional		$108.44	$140.44	$210.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $141.00 / $180.12	Professional		$141.00	$141.00	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.91 / $184.91 / $184.91	Facility		$184.91	$184.91	$184.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $134.97 / $184.91	Professional		$134.97	$134.97	$184.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.44 / $263.49 / $379.43	Professional		$184.44	$263.49	$379.43
United Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $135.97 / $208.44	Professional		$118.69	$135.97	$208.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $147.50 / $184.44	Professional		$147.50	$147.50	$184.44