Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $154.65 / $221.50	Professional		$101.73	$154.65	$221.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $178.04	Professional		$178.04	$178.04	$178.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $158.34 / $191.70	Professional		$109.12	$158.34	$191.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $142.91 / $190.60	Professional		$124.58	$142.91	$190.60
United Facility/Professional Facility Modifier Low / Median / High Price $174.41 / $174.41 / $174.41	Facility		$174.41	$174.41	$174.41
United Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $170.92 / $258.00	Professional		$125.94	$170.92	$258.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $145.02 / $186.87	Professional		$116.78	$145.02	$186.87