Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $177.73 / $279.58	Professional		$82.05	$177.73	$279.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $147.27 / $147.27	Professional		$147.27	$147.27	$147.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $251.43 / $359.19	Professional		$210.72	$251.43	$359.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.87 / $119.47 / $154.32	Professional		$107.87	$119.47	$154.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $179.78 / $203.54	Professional		$179.78	$179.78	$203.54