Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $122.09 / $357.31	Professional		$92.16	$122.09	$357.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $125.48 / $186.97	Professional		$101.55	$125.48	$186.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $141.97 / $243.81	Professional		$100.11	$141.97	$243.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $120.11 / $198.43	Professional		$93.89	$120.11	$198.43
United Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $122.42 / $189.44	Professional		$96.43	$122.42	$189.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $126.75 / $141.94	Professional		$114.60	$126.75	$141.94