Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $204.17 / $263.03	Professional		$97.72	$204.17	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $346.74	Professional		$208.93	$245.47	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $169.82	Professional		$107.15	$120.23	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $204.17	Professional		$177.83	$177.83	$204.17