Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $338.84	Professional		$61.66	$123.03	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $87.10	Professional		$67.61	$75.86	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $223.87	Professional		$63.10	$123.03	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $316.23	Professional		$125.89	$165.96	$316.23
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 $66.07 / $114.82 / $229.09	Professional		$66.07	$114.82	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $147.91 / $229.09	Professional		$64.57	$147.91	$229.09