Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $131.83 / $380.19	Professional		$45.71	$131.83	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $63.10	Professional		$47.86	$53.70	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $181.97	Professional		$44.67	$95.50	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $251.19	Professional		$107.15	$138.04	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $186.21	Professional		$46.77	$85.11	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $125.89 / $194.98	Professional		$43.65	$125.89	$194.98