Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.74 / $191.29 / $209.14	Professional		$188.74	$191.29	$209.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.04 / $204.04 / $259.13	Professional		$204.04	$204.04	$259.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $167.72 / $626.94	Professional		$138.21	$167.72	$626.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $306.06 / $382.58	Professional		$255.05	$306.06	$382.58
United Facility/Professional Professional Modifier Low / Median / High Price $102.77 / $114.77 / $203.92	Professional		$102.77	$114.77	$203.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $127.53 / $127.53	Professional		$127.53	$127.53	$127.53