Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.61 / $117.41 / $177.99	Professional		$92.61	$117.41	$177.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $152.18	Professional		$119.00	$119.00	$152.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $182.31	Facility		$182.31	$182.31	$182.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.09 / $182.31	Professional		$133.09	$133.09	$182.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $222.62 / $320.57	Professional		$155.83	$222.62	$320.57
United Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $116.61 / $176.11	Professional		$102.69	$116.61	$176.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.51 / $134.51 / $155.83	Professional		$134.51	$134.51	$155.83