Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $457.09	Professional		$95.50	$177.83	$457.09
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 $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $234.42	Professional		$102.33	$138.04	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $194.98	Professional		$91.20	$123.03	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $181.97	Professional		$123.03	$123.03	$181.97