Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $164.16 / $250.00	Professional		$124.31	$164.16	$250.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $333.08 / $349.73	Professional		$133.97	$333.08	$349.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $138.38 / $292.89	Professional		$99.43	$138.38	$292.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $133.47 / $174.09	Professional		$115.75	$133.47	$174.09
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $255.01 / $469.25	Professional		$48.28	$255.01	$469.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $229.26 / $229.26	Professional		$229.26	$229.26	$229.26