Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $446.68	Professional		$128.82	$154.88	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $645.65	Professional		$138.04	$151.36	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $354.81	Professional		$123.03	$165.96	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $263.03	Professional		$125.89	$141.25	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $331.13	Professional		$123.03	$169.82	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $199.53	Professional		$117.49	$144.54	$199.53