Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $120.23	Professional		$75.86	$91.20	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $104.71	Professional		$83.18	$91.20	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $147.91	Facility		$60.26	$75.86	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $165.96	Professional		$60.26	$67.61	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $169.82	Professional		$114.82	$125.89	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $87.10	Facility		$40.74	$47.86	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $104.71	Professional		$47.86	$51.29	$104.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $169.82	Professional		$44.67	$57.54	$169.82