Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $164.04 / $178.28	Professional		$162.19	$164.04	$178.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $177.59 / $204.23	Professional		$177.59	$177.59	$204.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $196.47 / $309.29	Professional		$148.29	$196.47	$309.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $240.37 / $426.35	Professional		$182.73	$240.37	$426.35
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 $147.41 / $181.93 / $325.01	Professional		$147.41	$181.93	$325.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.19 / $175.23 / $214.28	Professional		$146.19	$175.23	$214.28