Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $209.89 / $361.80	Professional		$135.00	$209.89	$361.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $141.69 / $162.94	Professional		$127.52	$141.69	$162.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $200.54 / $342.95	Professional		$129.28	$200.54	$342.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $250.29 / $430.30	Professional		$212.99	$250.29	$430.30
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 $162.41 / $204.97 / $389.94	Professional		$162.41	$204.97	$389.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $165.28 / $249.50	Professional		$150.29	$165.28	$249.50