Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $147.91 / $812.83	Professional		$56.23	$147.91	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $69.18	Professional		$57.54	$63.10	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $123.03	Professional		$54.95	$67.61	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $87.10	Professional		$48.98	$58.88	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $120.23	Professional		$47.86	$70.79	$120.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $81.28	Professional		$48.98	$64.57	$81.28