Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $82.34 / $147.32	Professional		$77.13	$82.34	$147.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $99.01 / $128.82	Professional		$99.01	$99.01	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $78.68 / $107.78	Professional		$78.68	$78.68	$107.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $188.45 / $271.37	Professional		$131.91	$188.45	$271.37
United Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $85.28 / $100.39	Facility		$58.33	$85.28	$100.39
United Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $94.01 / $149.85	Professional		$72.93	$94.01	$149.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $103.34 / $131.91	Professional		$103.34	$103.34	$131.91