Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $88.23 / $832.00	Professional		$74.16	$88.23	$832.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $111.15 / $172.28	Professional		$106.16	$111.15	$172.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $175.00 / $250.00	Facility		$96.79	$175.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $96.19 / $170.72	Professional		$72.09	$96.19	$170.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $96.81 / $138.30	Professional		$78.37	$96.81	$138.30
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $87.07 / $163.55	Professional		$63.70	$87.07	$163.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $92.53 / $119.86	Professional		$66.34	$92.53	$119.86