Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $107.67 / $204.56	Professional		$85.04	$107.67	$204.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $114.41 / $139.55	Professional		$109.00	$114.41	$139.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $124.21 / $170.15	Professional		$124.21	$124.21	$170.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $204.15 / $293.98	Professional		$142.91	$204.15	$293.98
United Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $102.30 / $161.50	Professional		$91.96	$102.30	$161.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $123.53 / $142.91	Professional		$123.53	$123.53	$142.91