Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $269.15	Professional		$102.33	$147.91	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $162.18	Professional		$102.33	$112.20	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $398.11	Facility		$89.13	$104.71	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $309.03	Professional		$104.71	$162.18	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $257.04	Professional		$125.89	$181.97	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $602.56	Facility		$75.86	$107.15	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $275.42	Professional		$100.00	$154.88	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $239.88	Professional		$131.83	$194.98	$239.88