Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $147.91	Professional		$97.72	$112.20	$147.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $208.93	Facility		$131.83	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $169.82	Professional		$112.20	$112.20	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $208.93	Professional		$131.83	$177.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $70.79 / $128.82	Facility		$7.94	$70.79	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $154.88	Professional		$151.36	$151.36	$154.88