Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $234.42	Professional		$79.43	$100.00	$234.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $120.23	Professional		$72.44	$85.11	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $190.55	Professional		$87.10	$117.49	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $169.82	Professional		$89.13	$123.03	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $109.65	Facility		$70.79	$87.10	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $181.97	Professional		$85.11	$117.49	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $169.82	Professional		$117.49	$151.36	$169.82