Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $72.56 / $108.52	Professional		$40.54	$72.56	$108.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,712.00 / $1,712.00 / $1,712.00	Professional		$1,712.00	$1,712.00	$1,712.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $118.85 / $220.74	Professional		$103.17	$118.85	$220.74
United Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $101.82 / $207.46	Professional		$80.20	$101.82	$207.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $110.37 / $118.85	Professional		$110.37	$110.37	$118.85