Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $144.00 / $157.44	Professional		$54.39	$144.00	$157.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $175.10	Professional		$153.60	$153.60	$175.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $118.60 / $471.62	Professional		$43.48	$118.60	$471.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $230.40 / $288.00	Professional		$192.00	$230.40	$288.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $86.40 / $117.50	Professional		$35.14	$86.40	$117.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Professional		$96.00	$96.00	$96.00