Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $151.36	Professional		$100.00	$114.82	$151.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $128.82	Professional		$102.33	$114.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $213.80	Professional		$141.25	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $109.65	Facility		$60.26	$60.26	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $114.82	Professional		$60.26	$64.57	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79