Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $169.82	Professional		$77.62	$104.71	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $144.54	Facility		$64.57	$93.33	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $151.36	Professional		$85.11	$95.50	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $162.18	Professional		$114.82	$114.82	$162.18