Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $218.78	Professional		$104.71	$141.25	$218.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $138.04	Professional		$107.15	$120.23	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $512.86	Facility		$57.54	$67.61	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $257.04	Professional		$95.50	$123.03	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $245.47	Professional		$120.23	$141.25	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $218.78	Professional		$87.10	$112.20	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $173.78	Professional		$93.33	$128.82	$173.78