Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $119.56 / $148.94	Professional		$101.80	$119.56	$148.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $95.66 / $110.01	Professional		$94.48	$95.66	$110.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $138.78 / $229.61	Professional		$96.20	$138.78	$229.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $175.28 / $324.10	Professional		$151.18	$175.28	$324.10
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 $112.54 / $145.13 / $291.48	Professional		$112.54	$145.13	$291.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $110.38 / $175.28	Professional		$102.40	$110.38	$175.28