Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $82.58 / $107.56	Professional		$63.84	$82.58	$107.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $89.57 / $133.46	Professional		$65.47	$89.57	$133.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $98.94 / $171.39	Professional		$69.78	$98.94	$171.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $86.59 / $144.76	Professional		$67.18	$86.59	$144.76
United Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $88.15 / $135.47	Professional		$70.52	$88.15	$135.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $91.73 / $102.75	Professional		$82.98	$91.73	$102.75