Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $128.55 / $628.63	Professional		$122.99	$128.55	$628.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $142.01 / $162.32	Professional		$125.00	$142.01	$162.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $173.55 / $330.71	Professional		$116.31	$173.55	$330.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $174.00 / $283.08	Professional		$134.88	$174.00	$283.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $157.57 / $275.18	Professional		$109.25	$157.57	$275.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $155.11 / $185.22	Professional		$118.87	$155.11	$185.22