Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $172.14 / $320.01	Professional		$111.35	$172.14	$320.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $125.53 / $144.36	Professional		$112.98	$125.53	$144.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $178.89 / $307.89	Professional		$114.41	$178.89	$307.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.33 / $222.62 / $386.74	Professional		$188.33	$222.62	$386.74
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 $144.94 / $191.86 / $350.59	Professional		$144.94	$191.86	$350.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $147.99 / $224.58	Professional		$133.03	$147.99	$224.58