Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $115.76 / $267.27	Professional		$26.87	$115.76	$267.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $36.79 / $46.74	Professional		$32.85	$36.79	$46.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $330.00 / $641.21	Facility		$83.06	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $107.34 / $228.06	Professional		$29.91	$107.34	$228.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $151.72 / $256.06	Professional		$116.79	$151.72	$256.06
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 $102.67 / $153.10 / $249.64	Professional		$102.67	$153.10	$249.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $135.25 / $166.85	Professional		$117.61	$135.25	$166.85