Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $206.12 / $206.12	Professional		$178.64	$206.12	$206.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $247.35 / $281.98	Professional		$219.86	$247.35	$281.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.05 / $144.05 / $144.05	Professional		$144.05	$144.05	$144.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $329.80 / $412.25	Professional		$274.83	$329.80	$412.25
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $123.67 / $250.09	Professional		$115.43	$123.67	$250.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $137.41 / $137.41	Professional		$137.41	$137.41	$137.41