Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $72.37 / $73.09	Facility		$42.19	$72.37	$73.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $91.48 / $114.35	Professional		$71.66	$91.48	$114.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $99.51 / $119.42	Professional		$79.61	$99.51	$119.42
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $47.40 / $72.44	Professional		$43.79	$47.40	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $7.50 / $105.33	Professional		$5.85	$7.50	$105.33