Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $82.64 / $188.06	Professional		$63.84	$82.64	$188.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $81.22 / $103.15	Professional		$74.15	$81.22	$103.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $50.00 / $641.21	Facility		$43.36	$50.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $102.72 / $188.28	Professional		$67.88	$102.72	$188.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $121.69 / $173.67	Professional		$94.33	$121.69	$173.67
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 $66.68 / $101.23 / $174.26	Professional		$66.68	$101.23	$174.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.97 / $108.48 / $135.12	Professional		$81.97	$108.48	$135.12