Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $140.66 / $177.42	Professional		$99.46	$140.66	$177.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $90.56 / $117.62	Professional		$89.29	$90.56	$117.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $102.00	Facility		$50.00	$50.00	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.29 / $174.12 / $339.96	Professional		$103.29	$174.12	$339.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.92 / $226.94 / $301.81	Professional		$175.92	$226.94	$301.81
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 $119.41 / $176.78 / $316.17	Professional		$119.41	$176.78	$316.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $202.31 / $248.55	Professional		$140.52	$202.31	$248.55