Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $131.55 / $164.14	Professional		$111.59	$131.55	$164.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $106.02 / $121.92	Professional		$106.02	$106.02	$121.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.79 / $156.10 / $268.98	Professional		$105.79	$156.10	$268.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.31 / $194.21 / $358.86	Professional		$167.31	$194.21	$358.86
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $168.41 / $323.08	Professional		$129.57	$168.41	$323.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $125.60 / $194.21	Professional		$121.59	$125.60	$194.21