Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $82.81 / $182.40	Professional		$58.14	$82.81	$182.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $60.50 / $66.55	Professional		$54.29	$60.50	$66.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $52.53	Facility		$50.00	$50.00	$52.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $107.52 / $218.77	Professional		$67.28	$107.52	$218.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $137.05 / $180.67	Professional		$106.24	$137.05	$180.67
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 $75.73 / $104.87 / $190.12	Professional		$75.73	$104.87	$190.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $122.18 / $150.16	Professional		$87.58	$122.18	$150.16