Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.77 / $192.84 / $287.42	Professional		$107.77	$192.84	$287.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $121.84 / $188.85	Professional		$118.58	$121.84	$188.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $214.35 / $399.55	Professional		$110.52	$214.35	$399.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $261.88 / $400.51	Professional		$180.48	$261.88	$400.51
United Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $228.83 / $403.35	Professional		$166.88	$228.83	$403.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $259.44 / $319.95	Professional		$145.75	$259.44	$319.95