Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $253.50 / $509.20	Professional		$131.44	$253.50	$509.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $143.49 / $164.33	Professional		$111.93	$143.49	$164.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $290.45 / $556.89	Professional		$136.26	$290.45	$556.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $361.96 / $632.22	Professional		$280.58	$361.96	$632.22
United Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $297.62 / $526.41	Professional		$232.99	$297.62	$526.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $322.68 / $398.25	Professional		$208.49	$322.68	$398.25