Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $79.53 / $420.26	Professional		$73.52	$79.53	$420.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $93.51 / $130.44	Professional		$93.51	$93.51	$130.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $114.55 / $195.91	Professional		$76.39	$114.55	$195.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $106.66 / $171.57	Professional		$80.19	$106.66	$171.57
United Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $96.42 / $158.13	Professional		$71.00	$96.42	$158.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.89 / $92.22 / $115.20	Professional		$60.89	$92.22	$115.20