Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $86.09 / $151.82	Professional		$78.67	$86.09	$151.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.22 / $125.22 / $125.22	Professional		$125.22	$125.22	$125.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $83.68 / $98.45	Professional		$83.68	$83.68	$98.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.25 / $168.29	Professional		$112.20	$144.25	$168.29
United Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $59.87 / $106.43	Facility		$7.32	$59.87	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $93.91 / $150.26	Professional		$73.17	$93.91	$150.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $560.00 / $560.00	Professional		$560.00	$560.00	$560.00