Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $229.09	Professional		$134.90	$162.18	$229.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $173.78	Professional		$138.04	$154.88	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $338.84	Professional		$102.33	$120.23	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $288.40	Professional		$194.98	$223.87	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $147.91	Facility		$81.28	$81.28	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $154.88	Professional		$81.28	$87.10	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72