Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $186.21	Professional		$46.77	$120.23	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $66.07	Professional		$43.65	$48.98	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $234.42	Professional		$45.71	$104.71	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $263.03	Professional		$107.15	$141.25	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $109.65 / $229.09	Professional		$42.66	$109.65	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $194.98	Professional		$112.20	$144.54	$194.98