Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $65.52 / $120.82	Professional		$65.02	$65.52	$120.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $88.62 / $108.61	Professional		$88.62	$88.62	$108.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $86.21	Professional		$62.93	$62.93	$86.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $158.87 / $228.77	Professional		$111.21	$158.87	$228.77
United Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $79.27 / $126.35	Professional		$59.92	$79.27	$126.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $82.66 / $111.21	Professional		$82.66	$82.66	$111.21