Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $316.23	Professional		$95.50	$229.09	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $229.09 / $263.03	Professional		$35.48	$229.09	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $128.82 / $371.54	Facility		$67.61	$128.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $407.38	Professional		$61.66	$107.15	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $426.58	Professional		$269.15	$302.00	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $120.23 / $218.78	Facility		$48.98	$120.23	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $190.55	Professional		$58.88	$128.82	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $229.09 / $426.58	Professional		$112.20	$229.09	$426.58