Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $302.00	Professional		$107.15	$169.82	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $169.82	Professional		$107.15	$120.23	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $154.88	Facility		$50.12	$120.23	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $302.00	Professional		$109.65	$169.82	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $288.40	Professional		$138.04	$208.93	$288.40
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 $97.72 / $162.18 / $295.12	Professional		$97.72	$162.18	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $239.88 / $281.84	Professional		$89.13	$239.88	$281.84