Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $126.91 / $152.83	Professional		$68.12	$126.91	$152.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $71.63 / $82.97	Professional		$71.63	$71.63	$82.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $128.25 / $237.33	Professional		$63.79	$128.25	$237.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $169.14 / $314.91	Professional		$125.94	$169.14	$314.91
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 $72.59 / $137.81 / $246.63	Professional		$72.59	$137.81	$246.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $120.02 / $170.40	Professional		$72.95	$120.02	$170.40