Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $111.72 / $182.78	Professional		$86.14	$111.72	$182.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $154.19	Professional		$121.00	$121.00	$154.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.90 / $225.57 / $324.82	Professional		$157.90	$225.57	$324.82
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $118.16 / $178.45	Professional		$96.06	$118.16	$178.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $116.51 / $157.90	Professional		$116.51	$116.51	$157.90