Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $141.43 / $194.73	Professional		$139.54	$141.43	$194.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $188.57 / $219.98	Professional		$169.71	$188.57	$219.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $141.94 / $463.57	Professional		$103.35	$141.94	$463.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $235.71 / $359.79	Professional		$188.57	$235.71	$359.79
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $157.47 / $314.25	Professional		$113.14	$157.47	$314.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.29 / $176.45 / $176.45	Professional		$94.29	$176.45	$176.45