Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $109.00 / $250.74	Professional		$72.73	$109.00	$250.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $87.76	Professional		$69.09	$69.09	$87.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $104.62 / $174.56	Professional		$68.48	$104.62	$174.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $131.57 / $243.76	Professional		$113.03	$131.57	$243.76
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 $78.29 / $106.82 / $203.22	Professional		$78.29	$106.82	$203.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.69 / $79.42 / $131.57	Professional		$78.69	$79.42	$131.57