Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $113.18 / $268.85	Professional		$86.46	$113.18	$268.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $85.26 / $148.06	Professional		$85.26	$85.26	$148.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $115.26 / $204.08	Professional		$76.43	$115.26	$204.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $144.29 / $201.06	Professional		$119.20	$144.29	$201.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $110.51 / $184.60	Professional		$91.85	$110.51	$184.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $104.54 / $134.04	Professional		$97.03	$104.54	$134.04