Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $150.80 / $153.22	Professional		$150.80	$150.80	$153.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $133.18 / $169.14	Professional		$133.18	$133.18	$169.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $182.30 / $311.19	Professional		$138.44	$182.30	$311.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $183.36 / $333.40	Professional		$157.32	$183.36	$333.40
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 $134.21 / $198.86 / $331.43	Professional		$134.21	$198.86	$331.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $162.96 / $183.36	Professional		$153.38	$162.96	$183.36