Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $115.94 / $142.44	Professional		$106.00	$115.94	$142.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $126.20 / $174.00	Professional		$126.20	$126.20	$174.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $453.73	Facility		$445.00	$445.00	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $154.54 / $294.39	Professional		$105.42	$154.54	$294.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $154.22 / $203.03	Professional		$118.20	$154.22	$203.03
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 $94.76 / $136.46 / $223.55	Professional		$94.76	$136.46	$223.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.47 / $137.49 / $168.86	Professional		$116.47	$137.49	$168.86