Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.11 / $172.89 / $612.00	Professional		$123.11	$172.89	$612.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $151.79 / $227.69	Professional		$146.38	$151.79	$227.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.99 / $185.57 / $310.37	Professional		$127.99	$185.57	$310.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $152.91 / $258.62	Professional		$119.20	$152.91	$258.62
United Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $172.94 / $268.11	Professional		$126.56	$172.94	$268.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.54 / $160.91 / $180.71	Professional		$145.54	$160.91	$180.71