Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $89.10 / $238.28	Professional		$53.55	$89.10	$238.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $70.97 / $100.52	Professional		$54.59	$70.97	$100.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $98.94 / $173.83	Professional		$58.63	$98.94	$173.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.74 / $118.05 / $170.29	Professional		$83.74	$118.05	$170.29
United Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $100.61 / $165.78	Professional		$63.16	$100.61	$165.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $101.74 / $152.61	Professional		$67.87	$101.74	$152.61