Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.61 / $109.65 / $571.05	Professional		$102.61	$109.65	$571.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $117.33 / $165.01	Professional		$117.33	$117.33	$165.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $150.04 / $290.33	Professional		$102.98	$150.04	$290.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $156.82 / $248.71	Professional		$117.91	$156.82	$248.71
United Facility/Professional Professional Modifier Low / Median / High Price $98.51 / $138.09 / $253.77	Professional		$98.51	$138.09	$253.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $135.60 / $164.00	Professional		$103.78	$135.60	$164.00