Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $221.24 / $339.30	Professional		$109.76	$221.24	$339.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $139.19 / $163.87	Professional		$101.48	$139.19	$163.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $261.32 / $497.78	Professional		$124.37	$261.32	$497.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.49 / $354.35 / $630.55	Professional		$233.49	$354.35	$630.55
United Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $275.16 / $476.99	Professional		$201.19	$275.16	$476.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $315.89 / $389.19	Professional		$182.66	$315.89	$389.19