Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $78.48 / $300.00	Professional		$48.71	$78.48	$300.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $71.43 / $81.65	Professional		$54.52	$71.43	$81.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $49.80 / $49.80	Facility		$49.80	$49.80	$49.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $100.75 / $186.76	Professional		$56.43	$100.75	$186.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $126.11 / $207.04	Professional		$94.82	$126.11	$207.04
United Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $112.58 / $217.80	Professional		$79.75	$112.58	$217.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $121.03 / $134.47	Professional		$109.04	$121.03	$134.47