Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $562.34	Professional		$151.36	$245.47	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $251.19	Professional		$186.21	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $478.63	Professional		$177.83	$275.42	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $588.84	Professional		$275.42	$346.74	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $467.74	Professional		$169.82	$263.03	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $489.78	Professional		$194.98	$309.03	$489.78