Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $136.30 / $251.01	Professional		$106.87	$136.30	$251.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $128.36 / $148.13	Professional		$116.32	$128.36	$148.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $168.61 / $350.43	Professional		$113.06	$168.61	$350.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $199.94 / $323.94	Professional		$151.85	$199.94	$323.94
United Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $151.26 / $269.52	Professional		$118.02	$151.26	$269.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $174.63 / $215.82	Professional		$106.20	$174.63	$215.82