Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $537.03	Professional		$112.20	$181.97	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $162.18	Professional		$120.23	$131.83	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $354.81	Professional		$114.82	$177.83	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $257.04	Professional		$131.83	$173.78	$257.04
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 $100.00 / $147.91 / $257.04	Professional		$100.00	$147.91	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $234.42	Professional		$114.82	$194.98	$234.42