Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $82.45 / $129.47	Professional		$46.65	$82.45	$129.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $58.35	Professional		$50.16	$50.16	$58.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $98.72 / $190.16	Professional		$44.94	$98.72	$190.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $142.08 / $252.31	Professional		$105.98	$142.08	$252.31
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 $77.23 / $119.99 / $231.29	Professional		$77.23	$119.99	$231.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $97.77 / $143.38	Professional		$51.65	$97.77	$143.38