Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $338.84	Professional		$67.61	$128.82	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $102.33	Professional		$75.86	$85.11	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $190.55	Professional		$70.79	$102.33	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $131.83	Professional		$67.61	$77.62	$131.83
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 $67.61 / $93.33 / $154.88	Professional		$67.61	$93.33	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $102.33	Professional		$75.86	$87.10	$102.33