Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $676.08	Professional		$169.82	$239.88	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $257.04	Professional		$199.53	$218.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $467.74	Professional		$186.21	$269.15	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $575.44	Professional		$257.04	$323.59	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $457.09	Professional		$177.83	$263.03	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $446.68	Professional		$181.97	$288.40	$446.68