Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $407.38	Professional		$109.65	$162.18	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $162.18	Professional		$64.57	$125.89	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $91.20 / $245.47	Professional		$1.55	$91.20	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $251.19	Professional		$147.91	$177.83	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $269.15	Professional		$95.50	$144.54	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $229.09	Professional		$138.04	$204.17	$229.09