Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $64.33	Professional		$63.47	$63.47	$64.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $68.62 / $93.32	Professional		$61.75	$68.62	$93.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $59.93 / $110.99	Facility		$56.37	$59.93	$110.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $55.75 / $164.68	Professional		$45.46	$55.75	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $131.59 / $171.65	Professional		$114.43	$131.59	$171.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $44.79 / $86.97	Professional		$38.60	$44.79	$86.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $42.89 / $45.77	Professional		$33.45	$42.89	$45.77