Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $208.93	Professional		$72.44	$97.72	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $275.42	Professional		$128.82	$181.97	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $87.10 / $134.90	Facility		$60.26	$87.10	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $144.54	Professional		$81.28	$89.13	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $154.88	Professional		$107.15	$107.15	$154.88