Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $64.75 / $121.75	Professional		$38.64	$64.75	$121.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $51.23 / $58.91	Professional		$49.47	$51.23	$58.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $66.15 / $165.55	Professional		$48.64	$66.15	$165.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $72.63 / $127.70	Professional		$58.53	$72.63	$127.70
United Facility/Professional Professional Modifier Low / Median / High Price $76.62 / $104.62 / $170.75	Professional		$76.62	$104.62	$170.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $61.03 / $71.05	Professional		$58.53	$61.03	$71.05