Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.07 / $194.33 / $237.18	Professional		$98.07	$194.33	$237.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $193.57 / $300.02	Professional		$110.13	$193.57	$300.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $249.88	Facility		$193.75	$193.75	$249.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $177.17 / $362.36	Professional		$116.83	$177.17	$362.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $194.63 / $282.29	Professional		$146.90	$194.63	$282.29
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $150.00 / $156.78	Facility		$36.00	$150.00	$156.78
United Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $167.18 / $300.54	Professional		$108.08	$167.18	$300.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $194.52 / $230.02	Professional		$148.93	$194.52	$230.02