Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $165.96	Professional		$56.23	$75.86	$165.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $95.50	Professional		$60.26	$66.07	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $436.52	Facility		$41.69	$47.86	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $162.18	Professional		$56.23	$85.11	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $123.03	Professional		$64.57	$87.10	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $138.04	Professional		$53.70	$79.43	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $117.49	Professional		$67.61	$93.33	$117.49