Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $79.01 / $217.46	Professional		$55.15	$79.01	$217.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $62.51 / $96.59	Professional		$62.37	$62.51	$96.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.01 / $392.01 / $392.01	Facility		$392.01	$392.01	$392.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $86.91 / $145.05	Professional		$50.41	$86.91	$145.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $77.75 / $124.75	Professional		$58.46	$77.75	$124.75
United Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $77.76 / $123.31	Professional		$53.29	$77.76	$123.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $67.23 / $82.80	Professional		$58.46	$67.23	$82.80