Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $354.81	Professional		$109.65	$173.78	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $169.82	Professional		$131.83	$144.54	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $323.59	Professional		$123.03	$194.98	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $426.58	Professional		$181.97	$239.88	$426.58
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 $117.49 / $181.97 / $331.13	Professional		$117.49	$181.97	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $331.13	Professional		$120.23	$213.80	$331.13