Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $121.74 / $200.23	Professional		$110.16	$121.74	$200.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $169.77 / $389.97	Professional		$169.77	$169.77	$389.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $221.01 / $428.97	Professional		$129.76	$221.01	$428.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $151.59 / $242.24	Professional		$119.43	$151.59	$242.24
United Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $190.55 / $302.91	Professional		$123.89	$190.55	$302.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $132.44 / $188.58	Professional		$132.44	$132.44	$188.58