Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $139.72 / $338.43	Professional		$114.32	$139.72	$338.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $147.76 / $162.54	Professional		$125.96	$147.76	$162.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $95.58	Facility		$50.00	$50.00	$95.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $179.19 / $330.13	Professional		$124.37	$179.19	$330.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $199.33 / $266.77	Professional		$154.52	$199.33	$266.77
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $128.00	Facility		$36.00	$41.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.70 / $159.13 / $308.70	Professional		$109.70	$159.13	$308.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $177.70 / $219.30	Professional		$124.13	$177.70	$219.30