Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $68.98 / $176.54	Professional		$42.09	$68.98	$176.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $46.29 / $58.79	Professional		$46.29	$46.29	$58.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $69.91 / $117.24	Professional		$41.31	$69.91	$117.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $101.26 / $191.72	Professional		$74.93	$101.26	$191.72
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $150.00 / $150.00	Facility		$128.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $81.45 / $160.02	Professional		$62.86	$81.45	$160.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $59.63 / $95.08	Professional		$46.89	$59.63	$95.08