Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $257.04	Professional		$89.13	$107.15	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $134.90	Professional		$100.00	$112.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $251.19	Professional		$87.10	$144.54	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $169.82	Professional		$89.13	$102.33	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $204.17	Professional		$85.11	$117.49	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $134.90	Professional		$64.57	$117.49	$134.90