Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $426.58	Professional		$147.91	$186.21	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $218.78	Professional		$162.18	$181.97	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $354.81	Professional		$109.65	$141.25	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $302.00	Professional		$199.53	$229.09	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $151.36	Facility		$83.18	$83.18	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $162.18	Professional		$83.18	$89.13	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $158.49	Professional		$100.00	$158.49	$158.49