Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $61.95 / $102.09	Professional		$47.10	$61.95	$102.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $91.44 / $91.44	Professional		$91.44	$91.44	$91.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $88.97	Facility		$66.45	$66.45	$88.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $56.49 / $80.95	Professional		$56.49	$56.49	$80.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $87.91 / $113.96	Professional		$64.78	$87.91	$113.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $63.94 / $99.01	Professional		$51.86	$63.94	$99.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $80.13 / $80.73	Professional		$78.66	$80.13	$80.73