Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $194.98	Professional		$70.79	$89.13	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $97.72	Professional		$75.86	$85.11	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $165.96	Professional		$51.29	$70.79	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $141.25	Professional		$95.50	$114.82	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $72.44	Facility		$39.81	$39.81	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $85.11	Professional		$39.81	$52.48	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $89.13	Professional		$47.86	$89.13	$89.13