Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $371.54	Professional		$117.49	$158.49	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $190.55	Professional		$125.89	$154.88	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $95.50	Facility		$50.12	$50.12	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $331.13	Professional		$120.23	$169.82	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $302.00	Professional		$169.82	$190.55	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $128.82	Facility		$36.31	$40.74	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $275.42	Professional		$102.33	$147.91	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $239.88	Professional		$123.03	$194.98	$239.88