Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $131.54 / $266.74	Professional		$95.51	$131.54	$266.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $127.60 / $136.60	Professional		$123.69	$127.60	$136.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $67.43 / $513.90	Facility		$57.32	$67.43	$513.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $122.75 / $236.53	Professional		$95.08	$122.75	$236.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $142.96 / $199.95	Professional		$118.09	$142.96	$199.95
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 $90.12 / $117.14 / $238.41	Professional		$90.12	$117.14	$238.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $120.19 / $142.96	Professional		$94.01	$120.19	$142.96