Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $125.78 / $190.68	Professional		$98.15	$125.78	$190.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $133.65	Professional		$128.00	$128.00	$133.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $141.99 / $194.51	Professional		$141.99	$141.99	$194.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $238.49 / $343.43	Professional		$166.94	$238.49	$343.43
United Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $122.88 / $188.67	Professional		$107.42	$122.88	$188.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $166.94	Professional		$136.22	$136.22	$166.94