Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $64.89 / $90.50	Professional		$54.24	$64.89	$90.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $77.17 / $86.11	Professional		$77.17	$77.17	$86.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $78.94	Facility		$78.94	$78.94	$78.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $67.09 / $78.94	Professional		$67.09	$67.09	$78.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $114.04 / $136.85	Professional		$88.70	$114.04	$136.85
United Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $64.12 / $101.67	Professional		$45.15	$64.12	$101.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $82.01 / $107.70	Professional		$82.01	$82.01	$107.70