Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $173.78	Professional		$120.23	$141.25	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $169.82	Professional		$131.83	$147.91	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Professional		$87.10	$87.10	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $245.47	Professional		$162.18	$190.55	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $125.89	Facility		$69.18	$69.18	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $147.91	Professional		$69.18	$85.11	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28