Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $208.93	Professional		$38.90	$109.65	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $79.43	Professional		$48.98	$53.70	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $123.03 / $239.88	Professional		$42.66	$123.03	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $213.80	Professional		$100.00	$154.88	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $144.54	Facility		$43.65	$43.65	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $104.71 / $223.87	Professional		$39.81	$104.71	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $181.97 / $208.93	Professional		$46.77	$181.97	$208.93