Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $126.96 / $272.82	Professional		$89.38	$126.96	$272.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $118.85 / $128.72	Professional		$118.85	$118.85	$128.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $116.28 / $236.30	Professional		$90.16	$116.28	$236.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.19 / $135.80 / $189.18	Professional		$112.19	$135.80	$189.18
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $112.57 / $214.68	Professional		$87.07	$112.57	$214.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $109.93 / $135.80	Professional		$89.64	$109.93	$135.80