Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $84.68 / $85.82	Professional		$75.52	$84.68	$85.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $102.99 / $140.07	Professional		$92.69	$102.99	$140.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $79.95 / $148.08	Facility		$60.65	$79.95	$148.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $66.94 / $164.68	Professional		$60.65	$66.94	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $143.04 / $171.65	Professional		$114.43	$143.04	$171.65
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $53.78 / $104.13	Professional		$48.06	$53.78	$104.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $45.77 / $57.22	Professional		$44.63	$45.77	$57.22