Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.56 / $151.80 / $165.97	Professional		$131.56	$151.80	$165.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $222.64 / $253.81	Professional		$202.40	$222.64	$253.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $125.11 / $497.37	Professional		$104.88	$125.11	$497.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $303.60	Professional		$202.40	$242.88	$303.60
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $91.08 / $182.16	Professional		$85.01	$91.08	$182.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $101.20 / $101.20	Professional		$101.20	$101.20	$101.20