Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $331.13	Professional		$64.57	$95.50	$331.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $57.54 / $75.86 / $75.86	Professional	52	$57.54	$75.86	$75.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $138.04	Professional		$87.10	$102.33	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $199.53	Professional		$69.18	$104.71	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $125.89	Professional		$67.61	$83.18	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $141.25	Professional		$64.57	$91.20	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $112.20	Professional		$77.62	$100.00	$112.20