Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $196.70 / $478.22	Professional		$106.42	$196.70	$478.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $166.25	Professional		$121.35	$121.35	$166.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.49 / $138.82 / $437.00	Facility		$122.49	$138.82	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $199.60 / $377.54	Professional		$110.70	$199.60	$377.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $255.75 / $371.19	Professional		$174.38	$255.75	$371.19
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 $151.51 / $208.96 / $362.30	Professional		$151.51	$208.96	$362.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $247.89 / $304.77	Professional		$141.78	$247.89	$304.77