Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $89.37 / $96.61	Professional		$89.08	$89.37	$96.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.91 / $85.91 / $98.80	Professional		$85.91	$85.91	$98.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $102.22 / $168.49	Professional		$79.77	$102.22	$168.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $129.97 / $232.79	Professional		$99.80	$129.97	$232.79
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 $73.76 / $98.02 / $186.49	Professional		$73.76	$98.02	$186.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $96.95 / $115.86	Professional		$68.54	$96.95	$115.86