Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $84.58 / $145.04	Professional		$32.60	$84.58	$145.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $38.10 / $48.39	Professional		$36.28	$38.10	$48.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $61.07 / $641.21	Facility		$50.00	$61.07	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $90.81 / $209.47	Professional		$34.72	$90.81	$209.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $122.30 / $205.34	Professional		$94.35	$122.30	$205.34
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $136.85 / $207.37	Professional		$83.37	$136.85	$207.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $109.03 / $134.79	Professional		$94.81	$109.03	$134.79