Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $129.13 / $302.57	Professional		$90.41	$129.13	$302.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $118.91 / $125.41	Professional		$82.76	$118.91	$125.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $75.13 / $335.55	Facility		$63.86	$75.13	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $122.95 / $239.91	Professional		$92.36	$122.95	$239.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $153.18 / $200.40	Professional		$126.54	$153.18	$200.40
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 $96.74 / $126.05 / $225.36	Professional		$96.74	$126.05	$225.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $111.73 / $153.18	Professional		$99.73	$111.73	$153.18