Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $143.01 / $144.94	Professional		$128.16	$143.01	$144.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $154.60 / $196.34	Professional		$154.60	$154.60	$196.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $119.46 / $474.83	Professional		$97.01	$119.46	$474.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $231.90 / $289.88	Professional		$193.25	$231.90	$289.88
United Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $88.74 / $173.93	Professional		$81.17	$88.74	$173.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $153.63 / $153.63	Professional		$96.63	$153.63	$153.63