Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $61.09 / $140.43	Professional		$41.47	$61.09	$140.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $48.01 / $60.97	Professional		$43.21	$48.01	$60.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $78.62 / $123.66	Professional		$49.37	$78.62	$123.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $99.41 / $183.78	Professional		$81.54	$99.41	$183.78
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 $61.60 / $75.70 / $142.63	Professional		$61.60	$75.70	$142.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.74 / $61.91 / $99.41	Professional		$56.74	$61.91	$99.41