Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $102.33 / $398.11	Professional		$48.98	$102.33	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $72.44	Professional		$52.48	$57.54	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $204.17	Professional		$51.29	$97.72	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $190.55	Professional		$102.33	$123.03	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $169.82	Professional		$45.71	$81.28	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $169.82	Professional		$75.86	$125.89	$169.82