Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $90.24 / $115.01	Professional		$71.75	$90.24	$115.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $120.96 / $120.96	Professional		$120.96	$120.96	$120.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $59.95 / $70.53	Professional		$51.49	$59.95	$70.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $152.41 / $182.90	Professional		$118.55	$152.41	$182.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $94.47 / $149.91	Professional		$71.58	$94.47	$149.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $119.53 / $137.87	Professional		$119.53	$119.53	$137.87