Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $111.56 / $287.25	Professional		$78.97	$111.56	$287.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $69.80 / $94.54	Professional		$69.80	$69.80	$94.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $132.46 / $255.88	Professional		$84.11	$132.46	$255.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $173.09 / $229.58	Professional		$134.18	$173.09	$229.58
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $133.43 / $231.68	Professional		$89.41	$133.43	$231.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $154.31 / $189.56	Professional		$109.23	$154.31	$189.56