Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $446.68	Professional		$100.00	$177.83	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $154.88	Professional		$120.23	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $295.12	Professional		$112.20	$169.82	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $371.54	Professional		$158.49	$208.93	$371.54
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 $104.71 / $158.49 / $288.40	Professional		$104.71	$158.49	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $288.40	Professional		$109.65	$186.21	$288.40