Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $95.61 / $133.90	Professional		$74.20	$95.61	$133.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $122.76 / $141.19	Professional		$122.76	$122.76	$141.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $54.54 / $64.17	Professional		$54.54	$54.54	$64.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.62 / $169.96 / $210.02	Professional		$145.62	$169.96	$210.02
United Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $89.19 / $155.93	Professional		$71.67	$89.19	$155.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $138.60 / $138.60	Professional		$122.06	$138.60	$138.60