Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $80.59 / $113.12	Professional		$67.62	$80.59	$113.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $148.72 / $148.72	Professional		$114.40	$148.72	$148.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $98.28	Facility		$88.70	$88.70	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $75.40	Professional		$75.40	$75.40	$75.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $202.18 / $202.18	Professional		$202.18	$202.18	$202.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $15.05 / $93.95	Professional		$7.48	$15.05	$93.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $161.94 / $161.94	Professional		$102.60	$161.94	$161.94