Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $380.19	Professional		$60.26	$138.04	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $89.13	Professional		$57.54	$74.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $302.00	Professional		$67.61	$144.54	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $275.42	Professional		$131.83	$177.83	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $245.47	Professional		$57.54	$125.89	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $239.88	Professional		$123.03	$199.53	$239.88