Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $186.21	Professional		$117.49	$144.54	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $141.25 / $162.18	Professional		$48.98	$141.25	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $912.01	Professional		$81.28	$93.33	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $269.15	Professional		$177.83	$194.98	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $134.90	Facility		$74.13	$85.11	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $162.18	Professional		$74.13	$83.18	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $269.15	Professional		$69.18	$89.13	$269.15