Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $158.49	Professional		$104.71	$123.03	$158.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $134.90	Professional		$107.15	$120.23	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $87.10	Professional		$79.43	$79.43	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $223.87	Professional		$151.36	$173.78	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $120.23	Professional		$63.10	$67.61	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86