Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $117.49 / $191.57	Professional		$94.50	$117.49	$191.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $163.79	Professional		$128.00	$128.00	$163.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.47 / $166.47 / $166.47	Facility		$166.47	$166.47	$166.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $166.47	Professional		$121.52	$121.52	$166.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $239.60 / $345.02	Professional		$167.72	$239.60	$345.02
United Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $121.92 / $189.54	Professional		$105.47	$121.92	$189.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $127.93 / $167.72	Professional		$127.93	$127.93	$167.72