Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $102.75 / $112.34	Professional		$89.05	$102.75	$112.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $109.60 / $124.94	Professional		$109.60	$109.60	$124.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $84.75 / $336.41	Professional		$70.91	$84.75	$336.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $164.40 / $205.50	Professional		$137.00	$164.40	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $61.65 / $123.30	Professional		$57.54	$61.65	$123.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $108.92 / $108.92	Professional		$68.50	$108.92	$108.92