Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $131.11 / $137.25	Professional		$59.03	$131.11	$137.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $159.43	Professional		$139.85	$139.85	$159.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $108.04 / $429.77	Professional		$90.70	$108.04	$429.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $209.77 / $262.22	Professional		$174.81	$209.77	$262.22
United Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $78.66 / $159.07	Professional		$73.42	$78.66	$159.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $87.41 / $87.41	Professional		$87.41	$87.41	$87.41