Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $115.98 / $184.31	Professional		$62.64	$115.98	$184.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $75.62 / $86.96	Professional		$72.80	$75.62	$86.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $131.03 / $242.15	Professional		$69.59	$131.03	$242.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.11 / $182.14 / $330.31	Professional		$136.11	$182.14	$330.31
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 $96.71 / $152.74 / $281.55	Professional		$96.71	$152.74	$281.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $128.49 / $184.15	Professional		$80.19	$128.49	$184.15