Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $331.13	Professional		$85.11	$151.36	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $131.83	Professional		$70.79	$85.11	$131.83
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 / $120.23 / $208.93	Professional		$85.11	$120.23	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $194.98	Professional		$89.13	$141.25	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $123.03	Facility		$54.95	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $194.98	Professional		$79.43	$117.49	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $190.55	Professional		$95.50	$128.82	$190.55