Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $99.90 / $157.96	Professional		$82.70	$99.90	$157.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $138.12	Professional		$108.00	$108.00	$138.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $136.19	Facility		$136.19	$136.19	$136.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $136.19	Professional		$99.43	$99.43	$136.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $202.06 / $290.97	Professional		$141.44	$202.06	$290.97
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $100.80 / $160.66	Professional		$90.95	$100.80	$160.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $120.84 / $141.44	Professional		$120.84	$120.84	$141.44