Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $146.09 / $189.15	Professional		$59.47	$146.09	$189.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $68.45	Professional		$59.52	$59.52	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $126.44 / $257.00	Professional		$50.73	$126.44	$257.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $168.18 / $340.45	Professional		$124.30	$168.18	$340.45
United Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $165.31 / $310.01	Professional		$125.78	$165.31	$310.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.73 / $168.18	Professional		$54.95	$123.73	$168.18