Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $132.88 / $236.59	Professional		$83.70	$132.88	$236.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $98.99 / $113.84	Professional		$97.32	$98.99	$113.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $164.32 / $307.36	Professional		$89.43	$164.32	$307.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $212.00 / $385.83	Professional		$158.22	$212.00	$385.83
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 $96.67 / $164.34 / $307.13	Professional		$96.67	$164.34	$307.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $148.79 / $214.06	Professional		$102.80	$148.79	$214.06