Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $179.30 / $322.64	Professional		$111.95	$179.30	$322.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $126.58 / $145.57	Professional		$113.92	$126.58	$145.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $182.22 / $316.23	Professional		$115.33	$182.22	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $228.14 / $397.15	Professional		$189.84	$228.14	$397.15
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 $149.13 / $195.18 / $359.21	Professional		$149.13	$195.18	$359.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $151.94 / $230.16	Professional		$134.10	$151.94	$230.16