Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $132.71 / $480.00	Professional		$97.59	$132.71	$480.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.36 / $174.36 / $245.85	Professional		$174.36	$174.36	$245.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $168.61 / $403.28	Professional		$117.58	$168.61	$403.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $142.53 / $270.77	Professional		$111.55	$142.53	$270.77
United Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $148.75 / $270.76	Professional		$105.38	$148.75	$270.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $142.53 / $174.96	Professional		$98.00	$142.53	$174.96