Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $158.02 / $190.25	Professional		$135.09	$158.02	$190.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $151.62 / $188.34	Professional		$142.22	$151.62	$188.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $188.13 / $325.45	Professional		$131.69	$188.13	$325.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $224.06 / $394.40	Professional		$190.98	$224.06	$394.40
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 $143.88 / $190.81 / $358.98	Professional		$143.88	$190.81	$358.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $154.50 / $221.09	Professional		$147.40	$154.50	$221.09