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 $160.30 / $160.30 / $180.12	Professional		$160.30	$160.30	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $159.21	Facility		$159.21	$159.21	$159.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $116.22 / $159.21	Professional		$116.22	$116.22	$159.21
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