Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $139.47 / $645.05	Professional		$119.75	$139.47	$645.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $146.53 / $197.56	Professional		$140.60	$146.53	$197.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $169.93 / $390.02	Professional		$122.37	$169.93	$390.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $165.16 / $265.10	Professional		$124.18	$165.16	$265.10
United Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $143.57 / $243.30	Professional		$107.69	$143.57	$243.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $142.81 / $178.61	Professional		$95.67	$142.81	$178.61