Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $363.08	Professional		$102.33	$158.49	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $190.55	Professional		$147.91	$165.96	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $263.03	Professional		$109.65	$154.88	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $295.12	Professional		$147.91	$177.83	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $281.84	Professional		$87.10	$144.54	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $251.19	Professional		$158.49	$181.97	$251.19