Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $222.97 / $329.99	Professional		$167.10	$222.97	$329.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $247.13 / $253.85 / $411.24	Professional		$247.13	$253.85	$411.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $284.10 / $574.10	Professional		$180.25	$284.10	$574.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.87 / $201.72 / $360.72	Professional		$157.87	$201.72	$360.72
United Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $255.17 / $381.65	Professional		$173.02	$255.17	$381.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $201.72 / $248.76	Professional		$139.41	$201.72	$248.76