Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $141.25	Professional		$69.18	$87.10	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Professional		$87.10	$87.10	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $251.19	Professional		$117.49	$169.82	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $123.03	Facility		$102.33	$120.23	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $131.83	Professional		$74.13	$85.11	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $141.25	Professional		$95.50	$95.50	$141.25