Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $178.12 / $220.03	Professional		$125.51	$178.12	$220.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.88 / $140.97 / $162.13	Professional		$126.88	$140.97	$162.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $196.93 / $340.70	Professional		$128.82	$196.93	$340.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.97 / $249.11 / $422.83	Professional		$211.97	$249.11	$422.83
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 $158.22 / $208.26 / $383.29	Professional		$158.22	$208.26	$383.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $162.44 / $245.11	Professional		$149.57	$162.44	$245.11