Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $124.88 / $126.56	Professional		$58.46	$124.88	$126.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $135.00 / $153.90	Professional		$121.50	$135.00	$153.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $119.91 / $487.11	Professional		$36.10	$119.91	$487.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $202.50 / $253.13	Professional		$168.75	$202.50	$253.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $75.94 / $151.88	Professional		$70.88	$75.94	$151.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $84.38 / $84.38	Professional		$84.38	$84.38	$84.38