Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $75.84 / $300.00	Professional		$73.64	$75.84	$300.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $111.23 / $284.23	Professional		$101.12	$111.23	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $72.00 / $292.27	Professional		$53.59	$72.00	$292.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $121.34 / $151.68	Professional		$101.12	$121.34	$151.68
United Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $45.50 / $92.02	Professional		$42.47	$45.50	$92.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $80.39 / $80.39	Professional		$50.56	$80.39	$80.39