Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $112.00 / $322.39	Professional		$83.71	$112.00	$322.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $95.99 / $150.65	Professional		$95.99	$95.99	$150.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $71.76	Facility		$50.00	$50.00	$71.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $142.13 / $291.22	Professional		$89.94	$142.13	$291.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $168.93 / $272.20	Professional		$130.94	$168.93	$272.20
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $135.53 / $244.89	Professional		$90.81	$135.53	$244.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $150.59 / $186.26	Professional		$110.56	$150.59	$186.26