Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $229.09	Professional		$87.10	$134.90	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $112.20	Professional		$83.18	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $288.40	Professional		$87.10	$144.54	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $309.03	Professional		$147.91	$169.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $257.04	Professional		$83.18	$144.54	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $229.09	Professional		$125.89	$173.78	$229.09