Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $129.80 / $131.55	Professional		$114.01	$129.80	$131.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $140.32 / $159.96	Professional		$140.32	$140.32	$159.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $109.10 / $431.38	Professional		$92.63	$109.10	$431.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $263.10	Professional		$175.40	$210.48	$263.10
United Facility/Professional Facility Modifier Low / Median / High Price $73.67 / $73.67 / $73.67	Facility		$73.67	$73.67	$73.67
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $78.93 / $157.86	Professional		$73.67	$78.93	$157.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $87.70 / $87.70	Professional		$87.70	$87.70	$87.70