Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $398.11	Professional		$120.23	$218.78	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $141.25	Professional		$114.82	$125.89	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $134.90	Facility		$50.12	$50.12	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $218.78 / $457.09	Professional		$102.33	$218.78	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $436.52	Professional		$229.09	$295.12	$436.52
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 $93.33 / $204.17 / $354.81	Professional		$93.33	$204.17	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $269.15 / $363.08	Professional		$112.20	$269.15	$363.08