Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $131.83	Professional		$74.13	$93.33	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $93.33	Professional		$41.69	$77.62	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $338.84	Facility		$34.67	$316.23	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $177.83	Professional		$64.57	$85.11	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $141.25	Professional		$85.11	$97.72	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $144.54	Professional		$54.95	$74.13	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $123.03	Professional		$63.10	$89.13	$123.03