Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $169.82	Professional		$104.71	$125.89	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $147.91	Professional		$114.82	$128.82	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $229.09	Professional		$85.11	$181.97	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $239.88	Professional		$151.36	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $75.86 / $158.49	Facility		$67.61	$75.86	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $154.88	Professional		$67.61	$75.86	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $239.88	Professional		$9.33	$12.02	$239.88