Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $346.74	Professional		$107.15	$162.18	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $169.82	Professional		$95.50	$114.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $275.42	Professional		$112.20	$162.18	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $257.04	Professional		$120.23	$186.21	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $112.20 / $162.18	Facility		$74.13	$112.20	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $257.04	Professional		$104.71	$154.88	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $251.19	Professional		$123.03	$165.96	$251.19