Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $295.12	Professional		$85.11	$134.90	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Professional		$74.13	$87.10	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $223.87	Professional		$87.10	$128.82	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $208.93	Professional		$95.50	$151.36	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $131.83	Facility		$54.95	$89.13	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $208.93	Professional		$81.28	$125.89	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $204.17	Professional		$100.00	$138.04	$204.17