Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $204.17	Professional		$57.54	$109.65	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $81.28	Professional		$54.95	$67.61	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $234.42	Professional		$61.66	$117.49	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $190.55	Professional		$54.95	$102.33	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $181.97	Professional		$89.13	$154.88	$181.97