Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $146.58 / $279.39	Professional		$87.64	$146.58	$279.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $107.13 / $146.77	Professional		$90.41	$107.13	$146.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $129.87 / $437.00	Facility		$114.59	$129.87	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $163.47 / $306.75	Professional		$93.37	$163.47	$306.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.05 / $204.55 / $295.11	Professional		$142.05	$204.55	$295.11
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.70 / $167.89 / $293.45	Professional		$126.70	$167.89	$293.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $201.10 / $247.91	Professional		$120.52	$201.10	$247.91