Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $302.00	Professional		$69.18	$138.04	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $91.20	Professional		$64.57	$79.43	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $48.98 / $141.25	Professional		$1.10	$48.98	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $151.36	Professional		$97.72	$109.65	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $147.91	Professional		$54.95	$74.13	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $151.36	Professional		$87.10	$134.90	$151.36