Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $95.42 / $198.75	Professional		$56.85	$95.42	$198.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $60.20 / $69.52 / $84.12	Professional		$60.20	$69.52	$84.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $90.89 / $167.77	Professional		$52.53	$90.89	$167.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $112.67 / $188.62	Professional		$87.40	$112.67	$188.62
United Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $109.27 / $246.95	Professional		$77.91	$109.27	$246.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $85.51 / $125.84	Professional		$85.51	$85.51	$125.84