Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $77.17 / $129.54	Professional		$59.03	$77.17	$129.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.65 / $112.65 / $112.65	Professional		$112.65	$112.65	$112.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $109.27	Facility		$81.62	$81.62	$109.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $69.38 / $100.83	Professional		$69.38	$69.38	$100.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $106.57 / $142.52	Professional		$78.53	$106.57	$142.52
United Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $78.33 / $143.13	Professional		$63.90	$78.33	$143.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $97.31 / $99.05	Professional		$95.35	$97.31	$99.05