Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $93.65 / $128.94	Professional		$86.17	$93.65	$128.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $99.90 / $126.87	Professional		$99.90	$99.90	$126.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $77.20 / $306.63	Professional		$61.45	$77.20	$306.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $149.84 / $187.31	Professional		$124.87	$149.84	$187.31
United Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $52.45	Facility		$52.45	$52.45	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $56.19 / $113.63	Professional		$52.45	$56.19	$113.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $99.27 / $99.27	Professional		$62.44	$99.27	$99.27