Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $338.84	Professional		$104.71	$154.88	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $125.89	Professional		$83.18	$112.20	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $338.84	Facility		$64.57	$75.86	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $251.19	Professional		$91.20	$123.03	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $223.87	Professional		$131.83	$151.36	$223.87
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 $83.18 / $114.82 / $208.93	Professional		$83.18	$114.82	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $190.55	Professional		$95.50	$138.04	$190.55