Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $154.88 / $501.19	Professional		$58.88	$154.88	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $66.07	Professional		$46.77	$52.48	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $123.03 / $239.88	Professional		$50.12	$123.03	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $316.23	Professional		$125.89	$165.96	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $239.88	Professional		$54.95	$125.89	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $147.91 / $229.09	Professional		$44.67	$147.91	$229.09