Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $116.34 / $153.35	Professional		$95.82	$116.34	$153.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $109.98 / $170.47	Professional		$109.98	$109.98	$170.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $110.57 / $110.57	Facility		$110.57	$110.57	$110.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $128.88 / $227.96	Professional		$91.99	$128.88	$227.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $112.06 / $161.33	Professional		$86.54	$112.06	$161.33
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $93.62 / $150.00	Facility		$36.00	$93.62	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $115.13 / $189.66	Professional		$87.05	$115.13	$189.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $112.06 / $132.35	Professional		$93.52	$112.06	$132.35