Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $204.17	Professional		$134.90	$158.49	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $229.09	Professional		$177.83	$199.53	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $251.19	Facility		$125.89	$131.83	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $354.81	Professional		$102.33	$120.23	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $371.54	Professional		$234.42	$257.04	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $109.65 / $186.21	Facility		$81.28	$109.65	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $199.53	Professional		$87.10	$104.71	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $371.54	Professional		$75.86	$97.72	$371.54