Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $234.42	Professional		$125.89	$169.82	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $165.96 / $194.98	Professional		$45.71	$165.96	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $269.15	Facility		$87.10	$138.04	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $398.11	Professional		$87.10	$100.00	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $229.09 / $316.23	Professional		$208.93	$229.09	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Facility		$87.10	$87.10	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $186.21	Professional		$77.62	$93.33	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $316.23	Professional		$81.28	$165.96	$316.23