Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $105.00 / $122.00	Professional		$96.00	$105.00	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $163.52	Facility		$90.00	$90.00	$163.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $120.00 / $130.00	Professional		$90.00	$120.00	$130.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $142.00 / $150.00	Professional		$100.00	$142.00	$150.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $110.00 / $180.00	Professional		$106.56	$110.00	$180.00