Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $305.57 / $305.57	Professional		$107.58	$305.57	$305.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $325.94 / $371.57	Professional		$325.94	$325.94	$371.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.80 / $87.80 / $96.82	Professional		$87.80	$87.80	$96.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $488.92 / $611.15	Professional		$407.43	$488.92	$611.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $82.76 / $203.72	Professional		$69.51	$82.76	$203.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $203.72 / $203.72	Professional		$203.72	$203.72	$203.72