Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $98.68 / $176.54	Professional		$92.43	$98.68	$176.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $154.38	Professional		$121.00	$121.00	$154.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $103.02	Professional		$103.02	$103.02	$103.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $225.84 / $325.20	Professional		$158.09	$225.84	$325.20
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.09 / $112.67 / $179.59	Professional		$98.09	$112.67	$179.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.30 / $135.30 / $158.09	Professional		$135.30	$135.30	$158.09