Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $113.62 / $175.16	Professional		$63.50	$113.62	$175.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $72.43 / $83.29	Professional		$72.43	$72.43	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $126.24 / $237.57	Professional		$66.83	$126.24	$237.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $177.82 / $320.91	Professional		$132.93	$177.82	$320.91
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $150.51 / $290.01	Professional		$102.10	$150.51	$290.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $125.12 / $179.85	Professional		$76.94	$125.12	$179.85