Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $69.09 / $95.09	Professional		$57.00	$69.09	$95.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $102.42 / $102.42	Professional		$102.42	$102.42	$102.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Facility		$88.16	$88.16	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $74.94 / $90.80	Professional		$74.94	$74.94	$90.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $113.24 / $137.05	Professional		$88.07	$113.24	$137.05
United Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $76.18 / $120.15	Professional		$64.02	$76.18	$120.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $86.31 / $107.57	Professional		$86.31	$86.31	$107.57