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 / $252.84 / $288.24	Professional		$219.86	$252.84	$288.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $145.66 / $145.66	Professional		$145.66	$145.66	$145.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $316.05 / $412.25	Professional		$274.83	$316.05	$412.25
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $137.41 / $250.09	Professional		$115.43	$137.41	$250.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $218.49 / $218.49	Professional		$137.41	$218.49	$218.49