Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $140.81 / $331.34	Professional		$129.69	$140.81	$331.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.99 / $138.21 / $175.05	Professional		$128.99	$138.21	$175.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $157.66 / $288.39	Professional		$110.84	$157.66	$288.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $153.44 / $254.16	Professional		$118.95	$153.44	$254.16
United Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $130.41 / $202.74	Professional		$101.08	$130.41	$202.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $90.94 / $171.30	Professional		$90.94	$90.94	$171.30