Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $457.09	Professional		$125.89	$147.91	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $186.21	Professional		$144.54	$162.18	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $275.42	Professional		$128.82	$169.82	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $371.54	Professional		$158.49	$204.17	$371.54
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 $131.83 / $169.82 / $302.00	Professional		$131.83	$169.82	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15