Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $106.32 / $137.11	Professional		$76.44	$106.32	$137.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $88.02 / $96.82	Professional		$86.00	$88.02	$96.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $67.18	Facility		$50.00	$50.00	$67.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $132.94 / $267.93	Professional		$80.94	$132.94	$267.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $171.29 / $225.95	Professional		$132.78	$171.29	$225.95
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 $94.63 / $136.97 / $253.60	Professional		$94.63	$136.97	$253.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $152.69 / $187.47	Professional		$109.73	$152.69	$187.47