Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $616.60	Professional		$109.65	$186.21	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $288.40	Professional		$147.91	$173.78	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $398.11	Professional		$117.49	$158.49	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $245.47	Professional		$138.04	$181.97	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $234.42	Professional		$97.72	$128.82	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $257.04	Professional		$128.82	$218.78	$257.04