Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $512.86	Professional		$81.28	$154.88	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $123.03	Professional		$95.50	$104.71	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $275.42	Professional		$89.13	$154.88	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $389.05	Professional		$158.49	$204.17	$389.05
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 $87.10 / $144.54 / $281.84	Professional		$87.10	$144.54	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $288.40	Professional		$83.18	$186.21	$288.40