Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $149.44 / $523.79	Professional		$110.12	$149.44	$523.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $118.60 / $140.88	Professional		$86.49	$118.60	$140.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $170.63 / $335.67	Professional		$105.30	$170.63	$335.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.38 / $203.02 / $353.08	Professional		$157.38	$203.02	$353.08
United Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $177.91 / $321.79	Professional		$124.80	$177.91	$321.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $180.99 / $223.25	Professional		$119.01	$180.99	$223.25