Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $138.04	Professional		$72.44	$97.72	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $223.87	Professional		$141.25	$165.96	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $151.36	Facility		$102.33	$102.33	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $112.20	Professional		$63.10	$74.13	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Professional		$81.28	$81.28	$91.20