Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $132.81 / $330.48	Professional		$95.24	$132.81	$330.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $116.44 / $159.52	Professional		$113.95	$116.44	$159.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.50 / $173.03 / $263.95	Professional		$131.50	$173.03	$263.95
United Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $150.29 / $258.76	Professional		$107.02	$150.29	$258.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.25 / $171.72 / $190.80	Professional		$152.25	$171.72	$190.80