Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $88.45 / $139.94	Professional		$55.00	$88.45	$139.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $67.93 / $86.27	Professional		$67.93	$67.93	$86.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $91.04 / $160.25	Professional		$51.53	$91.04	$160.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $114.62 / $193.32	Professional		$84.89	$114.62	$193.32
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 $79.02 / $97.33 / $188.97	Professional		$79.02	$97.33	$188.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $75.47 / $112.40	Professional		$58.70	$75.47	$112.40