Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $138.90 / $138.90	Professional		$120.38	$138.90	$138.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $166.68 / $190.02	Professional		$148.16	$166.68	$190.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Professional		$97.07	$97.07	$97.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $277.80	Professional		$185.20	$222.24	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $83.34 / $166.68	Professional		$77.78	$83.34	$166.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $92.60 / $92.60	Professional		$92.60	$92.60	$92.60