Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $309.03	Professional		$60.26	$141.25	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $83.18	Professional		$58.88	$64.57	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $104.71	Facility		$69.18	$69.18	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $302.00	Professional		$63.10	$134.90	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $169.82 / $239.88	Professional		$75.86	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $223.87 / $512.86	Facility		$45.71	$223.87	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $281.84	Professional		$58.88	$134.90	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $177.83 / $245.47	Professional		$50.12	$177.83	$245.47