Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $62.86 / $156.75	Professional		$30.66	$62.86	$156.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $29.55 / $60.68	Professional		$21.67	$29.55	$60.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.91 / $96.91 / $96.91	Facility		$96.91	$96.91	$96.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $71.20 / $202.28	Professional		$30.72	$71.20	$202.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $151.03 / $210.95	Professional		$61.00	$151.03	$210.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $82.33 / $181.81	Professional		$51.85	$82.33	$181.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $149.30 / $186.63	Professional		$25.56	$149.30	$186.63