Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $84.02 / $84.02	Professional		$82.89	$84.02	$84.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $89.62 / $121.88	Professional		$80.66	$89.62	$121.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $59.37 / $59.37	Facility		$59.37	$59.37	$59.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $128.44 / $160.55	Professional		$59.37	$128.44	$160.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $128.82 / $168.03	Professional		$112.02	$128.82	$168.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $56.01 / $101.94	Professional		$47.05	$56.01	$101.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.91 / $8.64	Professional		$6.74	$6.91	$8.64