Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $73.27 / $357.91	Professional		$68.61	$73.27	$357.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.29 / $81.26 / $92.88	Professional		$65.29	$81.26	$92.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $93.95 / $215.82	Professional		$67.31	$93.95	$215.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $95.13 / $148.91	Professional		$71.53	$95.13	$148.91
United Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $82.67 / $164.35	Professional		$60.12	$82.67	$164.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.41 / $82.26 / $102.00	Professional		$57.41	$82.26	$102.00