Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $107.69 / $137.18	Professional		$85.88	$107.69	$137.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $82.09 / $90.30	Professional		$65.80	$82.09	$90.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $69.63	Facility		$50.00	$50.00	$69.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $139.44 / $275.10	Professional		$91.98	$139.44	$275.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $173.07 / $228.64	Professional		$134.16	$173.07	$228.64
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 $88.92 / $130.61 / $250.64	Professional		$88.92	$130.61	$250.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $154.28 / $189.47	Professional		$102.51	$154.28	$189.47