Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $275.42	Professional		$93.33	$134.90	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $138.04	Professional		$102.33	$114.82	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $316.23	Professional		$102.33	$154.88	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $251.19	Professional		$125.89	$169.82	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $229.09	Professional		$85.11	$131.83	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $223.87	Professional		$95.50	$190.55	$223.87