Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $660.69	Professional		$120.23	$151.36	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $169.82	Professional		$120.23	$131.83	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $309.03	Professional		$134.90	$169.82	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $331.13	Professional		$158.49	$181.97	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $309.03	Professional		$138.04	$190.55	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $239.88	Professional		$154.88	$165.96	$239.88