Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $70.73 / $252.19	Professional		$40.02	$70.73	$252.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $55.14 / $63.03	Professional		$46.06	$55.14	$63.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $47.76 / $47.76	Facility		$47.76	$47.76	$47.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $86.60 / $165.35	Professional		$46.64	$86.60	$165.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $110.88 / $186.93	Professional		$85.95	$110.88	$186.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $94.39 / $159.06	Professional		$70.40	$94.39	$159.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $109.57 / $121.74	Professional		$98.84	$109.57	$121.74