Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $153.41 / $155.47	Professional		$134.75	$153.41	$155.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.58 / $207.31 / $236.33	Professional		$186.58	$207.31	$236.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $128.84 / $509.44	Professional		$109.39	$128.84	$509.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $248.77 / $310.97	Professional		$207.31	$248.77	$310.97
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $93.29 / $188.65	Professional		$87.07	$93.29	$188.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $164.81 / $164.81	Professional		$103.66	$164.81	$164.81