Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $346.74	Professional		$91.20	$117.49	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $112.20	Professional		$89.13	$100.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $208.93	Professional		$43.65	$77.62	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $186.21	Professional		$125.89	$144.54	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $95.50	Facility		$52.48	$52.48	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $91.20	Professional		$39.81	$56.23	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $100.00	Professional		$61.66	$100.00	$100.00