Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $281.84	Professional		$46.77	$104.71	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $67.61	Professional		$51.29	$56.23	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $223.87	Professional		$48.98	$107.15	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $234.42	Professional		$93.33	$125.89	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $190.55	Professional		$45.71	$95.50	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $169.82	Professional		$93.33	$141.25	$169.82