Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $115.48 / $190.68	Professional		$96.92	$115.48	$190.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $160.99	Professional		$126.00	$126.00	$160.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $159.22	Facility		$159.22	$159.22	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $116.23 / $159.22	Professional		$116.23	$116.23	$159.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $235.50 / $339.12	Professional		$164.85	$235.50	$339.12
United Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $118.02 / $186.30	Professional		$110.15	$118.02	$186.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $136.07 / $164.85	Professional		$136.07	$136.07	$164.85