Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $436.52	Professional		$104.71	$138.04	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $239.88	Professional		$144.54	$151.36	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $257.04	Professional		$112.20	$154.88	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $218.78	Professional		$100.00	$134.90	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $239.88	Professional		$112.20	$151.36	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $199.53	Professional		$138.04	$138.04	$199.53