Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $216.75 / $400.00	Professional		$38.45	$216.75	$400.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $136.62 / $212.99	Professional		$136.62	$136.62	$212.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $264.94 / $855.58	Professional		$101.55	$264.94	$855.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.42 / $269.89 / $359.42	Professional		$202.42	$269.89	$359.42
United Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $51.34 / $156.35	Professional		$35.03	$51.34	$156.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $194.11 / $345.05	Professional		$194.11	$194.11	$345.05