Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $106.98 / $168.68	Professional		$90.53	$106.98	$168.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $123.26 / $144.21	Professional		$123.26	$123.26	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $145.90 / $171.65	Professional		$145.90	$145.90	$171.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $210.96 / $303.77	Professional		$147.66	$210.96	$303.77
United Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $110.99 / $166.91	Professional		$96.36	$110.99	$166.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $128.13 / $147.66	Professional		$116.88	$128.13	$147.66