Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $218.23 / $271.24	Professional		$107.91	$218.23	$271.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $108.44 / $124.71	Professional		$108.44	$108.44	$124.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $194.12 / $391.00	Professional		$93.81	$194.12	$391.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $224.42 / $503.18	Professional		$165.88	$224.42	$503.18
United Facility/Professional Professional Modifier Low / Median / High Price $187.41 / $238.28 / $469.71	Professional		$187.41	$238.28	$469.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $187.66 / $224.42	Professional		$102.14	$187.66	$224.42