Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $281.25 / $281.25	Professional		$243.75	$281.25	$281.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $337.50 / $384.75	Professional		$300.00	$337.50	$384.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.75 / $198.75 / $219.38	Professional		$198.75	$198.75	$219.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $450.00 / $562.50	Professional		$375.00	$450.00	$562.50
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $168.75 / $330.00	Professional		$157.50	$168.75	$330.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $187.50 / $187.50	Professional		$187.50	$187.50	$187.50