Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $467.74	Professional		$147.91	$208.93	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $218.78	Professional		$134.90	$173.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $478.63	Professional		$158.49	$239.88	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $416.87	Professional		$245.47	$275.42	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $398.11	Professional		$144.54	$218.78	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $363.08	Professional		$194.98	$281.84	$363.08