Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $103.14 / $163.58	Professional		$55.11	$103.14	$163.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $54.25 / $66.63	Professional		$54.25	$54.25	$66.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $95.47 / $190.59	Professional		$48.77	$95.47	$190.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $140.41 / $203.97	Professional		$119.54	$140.41	$203.97
United Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $99.21 / $153.68	Professional		$71.34	$99.21	$153.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $92.38 / $135.97	Professional		$64.26	$92.38	$135.97