Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $89.25 / $392.00	Professional		$68.22	$89.25	$392.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $102.29 / $203.00	Professional		$100.72	$102.29	$203.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $125.16 / $236.64	Professional		$73.23	$125.16	$236.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $83.61 / $142.51	Professional		$65.79	$83.61	$142.51
United Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $114.74 / $178.59	Professional		$75.98	$114.74	$178.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $84.03 / $103.88	Professional		$58.25	$84.03	$103.88