Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $109.84 / $135.72	Professional		$83.64	$109.84	$135.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $115.68 / $121.46	Professional		$114.52	$115.68	$121.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $66.14 / $335.55	Facility		$56.22	$66.14	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $111.53 / $216.74	Professional		$85.59	$111.53	$216.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $123.58 / $173.88	Professional		$102.93	$123.58	$173.88
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 $82.15 / $98.19 / $181.78	Professional		$82.15	$98.19	$181.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $110.91 / $123.58	Professional		$80.47	$110.91	$123.58