Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $109.77 / $119.26	Professional		$108.49	$109.77	$119.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $114.56 / $131.74	Professional		$114.56	$114.56	$131.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $131.07 / $206.65	Professional		$100.25	$131.07	$206.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $160.66 / $282.25	Professional		$122.18	$160.66	$282.25
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 $101.88 / $130.16 / $230.00	Professional		$101.88	$130.16	$230.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $116.57 / $143.22	Professional		$96.41	$116.57	$143.22