Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.11 / $193.91 / $809.00	Professional		$179.11	$193.91	$809.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $189.29 / $232.03	Professional		$187.03	$189.29	$232.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $199.47 / $402.00	Professional		$149.10	$199.47	$402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $211.24 / $345.62	Professional		$163.75	$211.24	$345.62
United Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $196.44 / $332.88	Professional		$140.33	$196.44	$332.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $130.38 / $229.33	Professional		$130.38	$130.38	$229.33