Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $150.00 / $428.21	Professional		$148.00	$150.00	$428.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $220.00 / $440.96	Professional		$200.00	$220.00	$440.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $142.19 / $577.91	Professional		$106.00	$142.19	$577.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $300.00	Professional		$200.00	$240.00	$300.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $90.00 / $180.00	Professional		$84.00	$90.00	$180.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $159.00 / $159.00	Professional		$100.00	$159.00	$159.00