Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $138.90 / $151.86	Professional		$120.38	$138.90	$151.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $148.16 / $168.90	Professional		$148.16	$148.16	$168.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $114.50 / $455.52	Professional		$95.92	$114.50	$455.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $277.80	Professional		$185.20	$222.24	$277.80
United Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $77.78	Facility		$77.78	$77.78	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $88.41 / $168.53	Professional		$77.78	$88.41	$168.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $147.22 / $147.22	Professional		$92.60	$147.22	$147.22