Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Professional		$95.50	$114.82	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $123.03	Professional		$97.72	$109.65	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $239.88	Professional		$70.79	$85.11	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $204.17	Professional		$138.04	$158.49	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $104.71	Facility		$57.54	$57.54	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.66 / $112.20	Professional		$57.54	$61.66	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $109.65	Professional		$69.18	$109.65	$109.65