Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $183.90 / $186.38	Professional		$183.90	$183.90	$186.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $198.81 / $226.64	Professional		$198.81	$198.81	$226.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $131.71 / $131.71	Professional		$131.71	$131.71	$131.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $298.20 / $372.77	Professional		$248.51	$298.20	$372.77
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $124.26 / $226.14	Professional		$104.37	$124.26	$226.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $197.57 / $197.57	Professional		$124.26	$197.57	$197.57