Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $137.88 / $206.24	Professional		$107.76	$137.88	$206.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $144.97 / $176.83	Professional		$139.00	$144.97	$176.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $161.63	Professional		$117.99	$117.99	$161.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $258.68 / $372.50	Professional		$181.08	$258.68	$372.50
United Facility/Professional Facility Modifier Low / Median / High Price $99.43 / $193.57 / $198.86	Facility		$99.43	$193.57	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $131.63 / $204.64	Professional		$116.52	$131.63	$204.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.52 / $156.52 / $181.08	Professional		$156.52	$156.52	$181.08