Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $287.29 / $401.02	Professional		$195.00	$287.29	$401.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.88 / $188.76 / $302.02	Professional		$169.88	$188.76	$302.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.90 / $322.11 / $575.85	Professional		$199.90	$322.11	$575.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $362.78 / $557.27	Professional		$265.31	$362.78	$557.27
United Facility/Professional Professional Modifier Low / Median / High Price $239.65 / $349.94 / $596.88	Professional		$239.65	$349.94	$596.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.54 / $357.44 / $442.19	Professional		$258.54	$357.44	$442.19