Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $63.10 / $109.65	Professional		$26.92	$63.10	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $42.66	Professional		$27.54	$30.90	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $66.07 / $128.82	Professional		$28.84	$66.07	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $134.90	Professional		$75.86	$93.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $109.65	Professional		$28.18	$60.26	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $97.72 / $141.25	Professional		$28.18	$97.72	$141.25