Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.02 / $182.30 / $212.66	Professional		$134.02	$182.30	$212.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $153.08 / $176.04	Professional		$153.08	$153.08	$176.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $196.86 / $357.19	Professional		$126.49	$196.86	$357.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.22 / $260.07 / $480.21	Professional		$208.22	$260.07	$480.21
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 $168.37 / $230.66 / $476.67	Professional		$168.37	$230.66	$476.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $171.45 / $243.03	Professional		$145.38	$171.45	$243.03