Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $72.68 / $99.83	Professional		$56.31	$72.68	$99.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.63 / $87.63 / $93.49	Professional		$87.63	$87.63	$93.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $59.49	Professional		$49.10	$49.10	$59.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $123.80 / $148.56	Professional		$96.29	$123.80	$148.56
United Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $75.58 / $113.02	Professional		$55.15	$75.58	$113.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $92.64 / $116.93	Professional		$92.64	$92.64	$116.93