Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $143.27 / $200.03	Professional		$120.01	$143.27	$200.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $179.04 / $208.63	Professional		$161.13	$179.04	$208.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $204.93 / $345.91	Professional		$116.30	$204.93	$345.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $149.74 / $202.32	Professional		$101.16	$149.74	$202.32
United Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $164.86 / $339.55	Professional		$107.52	$164.86	$339.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.91 / $154.01 / $192.51	Professional		$111.91	$154.01	$192.51