Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $630.96	Professional		$114.82	$190.55	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $177.83	Professional		$138.04	$151.36	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $338.84	Professional		$128.82	$194.98	$338.84
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 $123.03 / $186.21 / $331.13	Professional		$123.03	$186.21	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $331.13	Professional		$125.89	$213.80	$331.13