Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $130.16 / $324.89	Professional		$104.96	$130.16	$324.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $98.02 / $114.98	Professional		$94.94	$98.02	$114.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $64.73	Facility		$50.00	$50.00	$64.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $172.42 / $311.39	Professional		$109.27	$172.42	$311.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $195.36 / $257.26	Professional		$151.44	$195.36	$257.26
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $134.91	Facility		$36.00	$41.00	$134.91
United Facility/Professional Professional Modifier Low / Median / High Price $116.20 / $158.90 / $279.50	Professional		$116.20	$158.90	$279.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $174.16 / $216.56	Professional		$143.22	$174.16	$216.56