Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $323.59	Professional		$87.10	$154.88	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $134.90	Professional		$70.79	$85.11	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $218.78	Professional		$85.11	$125.89	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $204.17	Professional		$91.20	$147.91	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $128.82	Facility		$54.95	$85.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $199.53	Professional		$79.43	$123.03	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $199.53	Professional		$95.50	$134.90	$199.53