Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $141.96 / $355.05	Professional		$39.38	$141.96	$355.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $53.39 / $60.33	Professional		$43.69	$53.39	$60.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $156.10 / $328.29	Professional		$42.29	$156.10	$328.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $210.74 / $307.20	Professional		$126.83	$210.74	$307.20
United Facility/Professional Professional Modifier Low / Median / High Price $131.74 / $177.39 / $370.94	Professional		$131.74	$177.39	$370.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $143.10 / $253.52	Professional		$42.83	$143.10	$253.52