Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $275.42	Professional		$70.79	$117.49	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $123.03	Professional		$63.10	$75.86	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $194.98	Professional		$75.86	$114.82	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $190.55	Professional		$83.18	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $117.49	Facility		$48.98	$75.86	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $181.97	Professional		$70.79	$109.65	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $181.97	Professional		$85.11	$123.03	$181.97