Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $76.18 / $166.04	Professional		$42.99	$76.18	$166.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $62.30 / $96.56	Professional		$62.30	$62.30	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $88.42 / $115.67	Professional		$70.00	$88.42	$115.67
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $80.34 / $167.57	Professional		$54.32	$80.34	$167.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $84.73 / $105.95	Professional		$77.69	$84.73	$105.95