Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $61.50 / $111.39	Professional		$28.85	$61.50	$111.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $38.72 / $44.54	Professional		$36.35	$38.72	$44.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $82.86 / $159.84	Professional		$34.28	$82.86	$159.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $122.03 / $212.09	Professional		$86.21	$122.03	$212.09
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 $57.02 / $101.56 / $186.83	Professional		$57.02	$101.56	$186.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $78.83 / $123.10	Professional		$39.26	$78.83	$123.10