Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $76.22 / $77.25	Professional		$67.98	$76.22	$77.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $95.05 / $152.32	Professional		$83.43	$95.05	$152.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.59 / $70.84 / $133.29	Facility		$54.59	$70.84	$133.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $108.77 / $179.80	Professional		$54.59	$108.77	$179.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $128.75 / $154.50	Professional		$103.00	$128.75	$154.50
United Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $60.80 / $78.28	Professional		$46.35	$60.80	$78.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $51.50 / $101.11	Professional		$40.17	$51.50	$101.11