Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $78.36 / $110.83	Professional		$68.50	$78.36	$110.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $123.46 / $123.46	Professional		$122.88	$123.46	$123.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $82.11 / $99.50	Professional		$82.11	$82.11	$99.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $126.57 / $171.50	Professional		$88.60	$126.57	$171.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $94.69 / $155.55	Professional		$74.59	$94.69	$155.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $105.30 / $107.58	Professional		$102.98	$105.30	$107.58