Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $149.91 / $747.29	Professional		$83.01	$149.91	$747.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $95.04 / $115.00	Professional		$89.80	$95.04	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $254.65 / $1,202.49	Professional		$89.00	$254.65	$1,202.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $717.36 / $1,031.48	Professional		$97.34	$717.36	$1,031.48
United Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $480.82 / $1,231.79	Professional		$150.72	$480.82	$1,231.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $550.12 / $790.80 / $974.43	Professional		$550.12	$790.80	$974.43