Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $616.60	Professional		$54.95	$141.25	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $79.43	Professional		$61.66	$67.61	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $208.93	Professional		$57.54	$109.65	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $302.00	Professional		$120.23	$154.88	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $218.78	Professional		$57.54	$102.33	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $218.78	Professional		$54.95	$141.25	$218.78