Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $92.48 / $144.03	Professional		$54.18	$92.48	$144.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $64.03 / $73.63	Professional		$63.54	$64.03	$73.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $110.33 / $190.72	Professional		$58.69	$110.33	$190.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $160.12 / $282.14	Professional		$119.71	$160.12	$282.14
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $150.00 / $150.00	Facility		$128.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $132.19 / $254.53	Professional		$86.46	$132.19	$254.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $88.24 / $161.94	Professional		$67.58	$88.24	$161.94