Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $104.71	Professional		$56.23	$87.10	$104.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $165.96	Professional		$85.11	$104.71	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $186.21	Professional		$81.28	$102.33	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $177.83	Professional		$120.23	$177.83	$177.83