Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $77.12 / $158.76	Professional		$63.74	$77.12	$158.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $61.86 / $84.42	Professional		$52.73	$61.86	$84.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $100.11 / $158.93	Professional		$63.02	$100.11	$158.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $107.15 / $150.54	Professional		$78.43	$107.15	$150.54
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $94.43 / $153.32	Professional		$69.80	$94.43	$153.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $113.17 / $125.75	Professional		$92.27	$113.17	$125.75