Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $106.97 / $106.97	Professional		$92.71	$106.97	$106.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $146.34	Professional		$114.10	$128.37	$146.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $75.59 / $75.59	Professional		$75.59	$75.59	$75.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $213.95	Professional		$142.63	$171.16	$213.95
United Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $59.90 / $59.90	Facility		$59.90	$59.90	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $65.61 / $128.37	Professional		$59.90	$65.61	$128.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31