Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $91.53 / $141.29	Professional		$73.15	$91.53	$141.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $120.04	Professional		$94.00	$94.00	$120.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $113.00	Facility		$113.00	$113.00	$113.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $82.49 / $113.00	Professional		$82.49	$82.49	$113.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $175.60 / $252.86	Professional		$122.92	$175.60	$252.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $90.62 / $138.91	Professional		$79.09	$90.62	$138.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $106.26 / $122.92	Professional		$106.26	$106.26	$122.92