Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $467.74	Professional		$114.82	$162.18	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $173.78	Professional		$131.83	$147.91	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $331.13	Professional		$128.82	$181.97	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $398.11	Professional		$177.83	$223.87	$398.11
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 $123.03 / $177.83 / $316.23	Professional		$123.03	$177.83	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $309.03	Professional		$123.03	$199.53	$309.03