Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $71.25 / $116.98	Professional		$61.10	$71.25	$116.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $89.47 / $90.18	Professional		$89.47	$89.47	$90.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $79.48 / $112.00	Professional		$79.48	$79.48	$112.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $119.43 / $143.32	Professional		$92.89	$119.43	$143.32
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $78.11 / $123.44	Professional		$56.30	$78.11	$123.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $102.27 / $113.82	Professional		$102.27	$102.27	$113.82