Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $86.63 / $86.63	Professional		$86.63	$86.63	$86.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $41.76 / $74.00	Professional		$22.00	$41.76	$74.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $96.28 / $134.86	Professional		$67.23	$96.28	$134.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $54.53 / $100.80	Professional		$30.82	$54.53	$100.80
United Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $32.81 / $69.66	Professional		$21.87	$32.81	$69.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $49.40 / $61.65	Professional		$34.36	$49.40	$61.65