Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $117.93 / $174.91	Professional		$69.61	$117.93	$174.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $114.21 / $212.49	Professional		$99.31	$114.21	$212.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $147.33 / $286.39	Professional		$80.23	$147.33	$286.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $123.61 / $207.91	Professional		$77.54	$123.61	$207.91
United Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $161.40 / $252.65	Professional		$123.32	$161.40	$252.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $177.11 / $220.71	Professional		$158.63	$177.11	$220.71