Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.18 / $171.12 / $173.01	Professional		$170.18	$171.12	$173.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $150.54 / $191.19	Professional		$150.54	$150.54	$191.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.44 / $217.34 / $367.82	Professional		$156.44	$217.34	$367.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $207.75 / $377.96	Professional		$178.16	$207.75	$377.96
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 $153.87 / $228.21 / $397.18	Professional		$153.87	$228.21	$397.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $184.52 / $207.75	Professional		$173.49	$184.52	$207.75