Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $158.49	Professional		$85.11	$104.71	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $147.91	Professional		$114.82	$114.82	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $323.59	Professional		$151.36	$218.78	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $89.13 / $134.90	Facility		$60.26	$89.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $169.82	Professional		$81.28	$107.15	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $181.97	Professional		$107.15	$107.15	$181.97