Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $87.67 / $112.50	Professional		$77.34	$87.67	$112.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $114.28 / $226.27	Professional		$111.08	$114.28	$226.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $105.20 / $185.58	Professional		$79.95	$105.20	$185.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $100.32 / $143.34	Professional		$78.95	$100.32	$143.34
United Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $92.54 / $154.88	Professional		$71.13	$92.54	$154.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $94.27 / $120.76	Professional		$69.34	$94.27	$120.76