Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $169.82	Professional		$67.61	$87.10	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $91.20	Professional		$67.61	$74.13	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $169.82	Professional		$63.10	$83.18	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $123.03	Professional		$58.88	$67.61	$123.03
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 $58.88 / $81.28 / $144.54	Professional		$58.88	$81.28	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $102.33	Professional		$58.88	$67.61	$102.33