Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $122.62 / $326.20	Professional		$96.77	$122.62	$326.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $149.10 / $298.20	Professional		$149.10	$149.10	$298.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $146.68 / $267.11	Professional		$101.18	$146.68	$267.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $150.80 / $242.29	Professional		$113.60	$150.80	$242.29
United Facility/Professional Facility Modifier Low / Median / High Price $95.15 / $95.15 / $95.15	Facility		$95.15	$95.15	$95.15
United Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $128.72 / $203.81	Professional		$97.28	$128.72	$203.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $142.90 / $186.39	Professional		$124.26	$142.90	$186.39