Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $135.02 / $358.71	Professional		$107.15	$135.02	$358.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $152.80	Professional		$128.34	$128.34	$152.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $507.00 / $641.21	Facility		$121.72	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $168.50 / $309.06	Professional		$119.23	$168.50	$309.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $180.37 / $256.35	Professional		$139.82	$180.37	$256.35
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 $102.24 / $158.57 / $279.13	Professional		$102.24	$158.57	$279.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $160.79 / $197.76	Professional		$115.95	$160.79	$197.76