Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $148.84 / $178.08	Professional		$109.24	$148.84	$178.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $143.66 / $222.69	Professional		$120.29	$143.66	$222.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $142.06 / $249.88	Facility		$142.06	$142.06	$249.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $156.76 / $291.77	Professional		$115.81	$156.76	$291.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $148.68 / $212.34	Professional		$114.74	$148.68	$212.34
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $150.00	Facility		$36.00	$36.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $139.51 / $229.16	Professional		$104.73	$139.51	$229.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $148.68 / $171.56	Professional		$102.90	$148.68	$171.56