Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $179.61 / $327.05	Professional		$85.67	$179.61	$327.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $113.09 / $118.74	Professional		$95.60	$113.09	$118.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $188.47 / $335.55	Facility		$160.19	$188.47	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $205.27 / $379.59	Professional		$87.88	$205.27	$379.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.20 / $279.88 / $365.06	Professional		$231.20	$279.88	$365.06
United Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $445.00	Facility		$445.00	$445.00	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.70 / $233.23 / $418.28	Professional		$177.70	$233.23	$418.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $177.54 / $279.88	Professional		$105.28	$177.54	$279.88