Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $79.92 / $107.78	Professional		$64.59	$79.92	$107.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $136.69 / $136.69	Professional		$136.69	$136.69	$136.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $85.26 / $103.31	Professional		$85.26	$85.26	$103.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $132.84 / $159.41	Professional		$103.32	$132.84	$159.41
United Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $86.33 / $136.44	Professional		$74.55	$86.33	$136.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $115.88 / $122.33	Professional		$114.56	$115.88	$122.33