Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $118.64 / $486.00	Professional		$88.09	$118.64	$486.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $104.63 / $120.75	Professional		$93.58	$104.63	$120.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.11 / $78.11 / $78.11	Facility		$78.11	$78.11	$78.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $142.43 / $286.50	Professional		$90.12	$142.43	$286.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.83 / $163.36 / $262.70	Professional		$122.83	$163.36	$262.70
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $137.22 / $264.70	Professional		$98.73	$137.22	$264.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $141.25 / $174.48	Professional		$85.91	$141.25	$174.48