Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $151.80 / $387.29	Professional		$149.78	$151.80	$387.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $222.64 / $399.30	Professional		$202.40	$222.64	$399.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $133.13 / $497.37	Professional		$104.77	$133.13	$497.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $303.60	Professional		$202.40	$242.88	$303.60
United Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $85.01 / $85.01	Facility		$85.01	$85.01	$85.01
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $91.08 / $182.16	Professional		$80.09	$91.08	$182.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $160.91 / $160.91	Professional		$101.20	$160.91	$160.91