Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $107.87 / $180.29	Professional		$88.42	$107.87	$180.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $138.35	Professional		$109.00	$109.00	$138.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $170.89	Professional		$124.75	$124.75	$170.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $202.38 / $291.43	Professional		$141.66	$202.38	$291.43
United Facility/Professional Professional Modifier Low / Median / High Price $91.16 / $101.40 / $160.10	Professional		$91.16	$101.40	$160.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $122.46 / $144.94	Professional		$122.46	$122.46	$144.94