Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $229.09	Professional		$83.18	$112.20	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $102.33	Professional		$75.86	$83.18	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $69.18	Facility		$50.12	$50.12	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $275.42	Professional		$91.20	$134.90	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $251.19	Professional		$144.54	$165.96	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $117.49	Facility		$36.31	$40.74	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $223.87	Professional		$77.62	$117.49	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $208.93	Professional		$102.33	$169.82	$208.93