Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $107.26 / $220.24	Professional		$90.92	$107.26	$220.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $118.68 / $149.22	Professional		$118.68	$118.68	$149.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $147.86 / $262.26	Professional		$102.26	$147.86	$262.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $165.00 / $220.34	Professional		$127.91	$165.00	$220.34
United Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $126.75 / $223.97	Professional		$86.94	$126.75	$223.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $147.10 / $181.91	Professional		$103.99	$147.10	$181.91