Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $167.28 / $632.00	Professional		$118.11	$167.28	$632.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $154.49 / $239.46	Professional		$143.69	$154.49	$239.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.32 / $184.54 / $316.30	Professional		$128.32	$184.54	$316.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $155.11 / $259.83	Professional		$121.15	$155.11	$259.83
United Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $159.66 / $249.06	Professional		$126.91	$159.66	$249.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $163.55 / $183.31	Professional		$147.88	$163.55	$183.31