Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $81.84 / $89.49	Professional		$69.41	$81.84	$89.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.22 / $109.13 / $138.60	Professional		$98.22	$109.13	$138.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $83.91 / $268.00	Professional		$59.75	$83.91	$268.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $130.96 / $208.22	Professional		$109.13	$130.96	$208.22
United Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $62.53 / $96.03	Professional		$49.11	$62.53	$96.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $107.11 / $107.11	Professional		$54.57	$107.11	$107.11