Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $78.33 / $229.60	Professional		$53.27	$78.33	$229.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $80.15 / $80.15	Professional		$72.14	$80.15	$80.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $90.51 / $130.56	Professional		$67.02	$90.51	$130.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $113.16 / $158.78	Professional		$95.27	$113.16	$158.78
United Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $95.10 / $113.79	Professional		$66.55	$95.10	$113.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $84.68 / $152.93	Professional		$67.01	$84.68	$152.93