Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $137.51 / $175.83	Professional		$102.64	$137.51	$175.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $125.07 / $137.58	Professional		$122.95	$125.07	$137.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $167.29 / $344.66	Professional		$110.92	$167.29	$344.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $211.59 / $279.86	Professional		$164.02	$211.59	$279.86
United Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $181.47 / $308.14	Professional		$119.13	$181.47	$308.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $188.62 / $232.76	Professional		$135.52	$188.62	$232.76