Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $120.83 / $188.85	Professional		$95.82	$120.83	$188.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $168.44	Professional		$132.00	$132.00	$168.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $128.16 / $175.58	Professional		$128.16	$128.16	$175.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $246.41 / $354.83	Professional		$172.49	$246.41	$354.83
United Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $129.07 / $194.93	Professional		$110.99	$129.07	$194.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $126.17 / $172.49	Professional		$126.17	$126.17	$172.49