Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.39 / $132.36 / $132.36	Professional		$121.39	$132.36	$132.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $147.07 / $166.19	Professional		$147.07	$147.07	$166.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $132.05 / $238.57	Professional		$103.95	$132.05	$238.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $157.34 / $286.08	Professional		$129.44	$157.34	$286.08
United Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $125.86 / $247.65	Professional		$87.54	$125.86	$247.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $143.04 / $148.86	Professional		$22.84	$143.04	$148.86