Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $371.54	Professional		$100.00	$234.42	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $120.23	Professional		$95.50	$107.15	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $338.84	Facility		$158.49	$190.55	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $416.87	Professional		$87.10	$199.53	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $416.87	Professional		$218.78	$275.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $331.13	Professional		$79.43	$190.55	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $346.74	Professional		$95.50	$257.04	$346.74