Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $331.13	Professional		$89.13	$109.65	$331.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $134.90	Professional		$104.71	$117.49	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $208.93	Professional		$95.50	$125.89	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $275.42	Professional		$117.49	$151.36	$275.42
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 $97.72 / $125.89 / $223.87	Professional		$97.72	$125.89	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $199.53	Professional		$95.50	$134.90	$199.53