Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $178.66 / $413.52	Professional		$92.63	$178.66	$413.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $83.25 / $105.73	Professional		$83.25	$83.25	$105.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $170.89 / $277.17	Professional		$90.84	$170.89	$277.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $215.41 / $341.54	Professional		$156.72	$215.41	$341.54
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 $149.76 / $191.91 / $323.29	Professional		$149.76	$191.91	$323.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $165.27 / $212.04	Professional		$99.83	$165.27	$212.04