Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $150.99 / $156.54	Professional		$94.74	$150.99	$156.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $97.93 / $112.62	Professional		$88.14	$97.93	$112.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $142.25 / $250.39	Professional		$91.45	$142.25	$250.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $177.78 / $308.39	Professional		$150.66	$177.78	$308.39
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 $114.50 / $147.91 / $278.26	Professional		$114.50	$147.91	$278.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $119.84 / $179.68	Professional		$106.48	$119.84	$179.68