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 $82.39 / $91.54 / $124.49	Professional		$82.39	$91.54	$124.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $60.65 / $60.65	Facility		$60.65	$60.65	$60.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $131.75 / $164.68	Professional		$60.65	$131.75	$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 / $51.49 / $104.13	Professional		$48.06	$51.49	$104.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $31.92 / $32.33	Professional		$25.21	$31.92	$32.33