Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $154.88	Professional		$79.43	$114.82	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $208.93	Professional		$169.82	$190.55	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Facility		$72.44	$72.44	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $245.47	Professional		$104.71	$144.54	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $251.19	Professional		$147.91	$173.78	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $194.98	Professional		$100.00	$165.96	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47