Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $338.84	Professional		$100.00	$117.49	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $158.49	Professional		$112.20	$123.03	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Facility		$446.68	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $251.19	Professional		$107.15	$147.91	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $204.17	Professional		$102.33	$114.82	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $128.82	Facility		$36.31	$40.74	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $239.88	Professional		$95.50	$131.83	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $158.49	Professional		$107.15	$123.03	$158.49