Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $112.50 / $209.72	Professional		$111.00	$112.50	$209.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $120.00 / $136.80	Professional		$108.00	$120.00	$136.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $106.59 / $433.20	Professional		$32.86	$106.59	$433.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $180.00 / $225.00	Professional		$150.00	$180.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $67.50 / $135.00	Professional		$63.00	$67.50	$135.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $119.25 / $119.25	Professional		$75.00	$119.25	$119.25