Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $177.83	Professional		$87.10	$107.15	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Professional		$131.83	$131.83	$151.36
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 $154.88 / $223.87 / $331.13	Professional		$154.88	$223.87	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $141.25	Facility		$63.10	$91.20	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $173.78	Professional		$85.11	$109.65	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Professional		$112.20	$112.20	$186.21