Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $100.46 / $236.49	Professional		$68.73	$100.46	$236.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $84.36 / $107.14	Professional		$84.36	$84.36	$107.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $330.00 / $641.21	Facility		$76.04	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $125.47 / $243.95	Professional		$80.23	$125.47	$243.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $159.47 / $213.07	Professional		$122.49	$159.47	$213.07
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $122.07 / $227.95	Professional		$89.39	$122.07	$227.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.64 / $142.16 / $174.99	Professional		$106.64	$142.16	$174.99