Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $164.22 / $233.62	Professional		$106.52	$164.22	$233.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $127.57 / $174.77	Professional		$97.47	$127.57	$174.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $120.40 / $183.19	Facility		$50.00	$120.40	$183.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $178.87 / $328.39	Professional		$110.29	$178.87	$328.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $212.23 / $314.70	Professional		$154.97	$212.23	$314.70
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $194.47 / $335.04	Professional		$136.97	$194.47	$335.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $209.67 / $259.64	Professional		$90.09	$209.67	$259.64