Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $76.81 / $209.54	Professional		$64.66	$76.81	$209.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $82.49 / $103.11	Professional		$68.78	$82.49	$103.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $48.47 / $141.83	Professional		$1.09	$48.47	$141.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $115.10 / $151.72	Professional		$98.59	$115.10	$151.72
United Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $81.99 / $153.74	Professional		$57.55	$81.99	$153.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $120.34 / $142.50	Professional		$86.51	$120.34	$142.50