Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $218.78 / $478.63	Professional		$95.50	$218.78	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $151.36	Professional		$107.15	$117.49	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $512.86 / $645.65	Facility		$446.68	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $489.78	Professional		$102.33	$213.80	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $489.78	Professional		$269.15	$331.13	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $239.88	Facility		$93.33	$123.03	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $416.87	Professional		$91.20	$199.53	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $436.52	Professional		$223.87	$338.84	$436.52