Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $407.38	Professional		$128.82	$181.97	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $165.96	Professional		$128.82	$144.54	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $263.03	Professional		$112.20	$151.36	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $263.03	Professional		$138.04	$158.49	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $263.03	Professional		$95.50	$141.25	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $218.78	Professional		$109.65	$151.36	$218.78