Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $191.57 / $274.20	Professional		$143.68	$191.57	$274.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $212.78 / $212.78	Professional		$212.78	$212.78	$212.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.82 / $192.86 / $237.24	Professional		$153.82	$192.86	$237.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $203.13 / $270.60	Professional		$176.41	$203.13	$270.60
United Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $215.71 / $303.49	Professional		$155.81	$215.71	$303.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.37 / $206.59 / $264.61	Professional		$165.37	$206.59	$264.61