Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $416.87	Professional		$123.03	$147.91	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $190.55	Professional		$128.82	$141.25	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $331.13	Professional		$125.89	$173.78	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $223.87	Professional		$120.23	$138.04	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $263.03	Professional		$112.20	$158.49	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $181.97	Professional		$104.71	$154.88	$181.97