Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $225.00 / $246.00	Professional		$66.20	$225.00	$246.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $240.00 / $273.60	Professional		$168.79	$240.00	$273.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $197.30 / $737.20	Professional		$49.37	$197.30	$737.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $450.00	Professional		$300.00	$360.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $135.00 / $183.60	Professional		$36.79	$135.00	$183.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $238.50 / $238.50	Professional		$150.00	$238.50	$238.50