Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $129.88 / $180.10	Professional		$126.76	$129.88	$180.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $173.17 / $197.41	Professional		$155.85	$173.17	$197.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $127.67 / $425.74	Professional		$94.91	$127.67	$425.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $216.46 / $308.58	Professional		$173.17	$216.46	$308.58
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $138.54 / $259.98	Professional		$103.90	$138.54	$259.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $169.97 / $169.97	Professional		$86.59	$169.97	$169.97