Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $185.41 / $403.26	Professional		$128.16	$185.41	$403.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.20 / $169.15 / $177.79	Professional		$120.20	$169.15	$177.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $145.13	Facility		$50.00	$50.00	$145.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $197.24 / $361.07	Professional		$131.72	$197.24	$361.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.56 / $256.08 / $361.20	Professional		$211.56	$256.08	$361.20
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $128.00	Facility		$89.00	$89.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $204.03 / $378.27	Professional		$154.07	$204.03	$378.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $160.60 / $256.08	Professional		$157.50	$160.60	$256.08