Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.40 / $224.44 / $403.58	Professional		$136.40	$224.44	$403.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.85 / $227.21	Professional		$131.83	$165.85	$227.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.49 / $251.05 / $469.92	Professional		$144.49	$251.05	$469.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $313.52 / $453.77	Professional		$217.73	$313.52	$453.77
United Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $269.35 / $462.63	Professional		$200.12	$269.35	$462.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $308.45 / $381.24	Professional		$184.59	$308.45	$381.24