Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $602.56	Professional		$109.65	$223.87	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $114.82	Professional		$87.10	$97.72	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $363.08	Professional		$93.33	$186.21	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $407.38	Professional		$158.49	$213.80	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $346.74	Professional		$97.72	$199.53	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $295.12	Professional		$83.18	$186.21	$295.12