Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $62.00 / $112.75	Professional		$61.14	$62.00	$112.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $58.73 / $80.45	Professional		$58.73	$58.73	$80.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $151.49 / $218.15	Professional		$106.04	$151.49	$218.15
United Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $75.58 / $120.47	Professional		$55.92	$75.58	$120.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $77.14 / $106.04	Professional		$77.14	$77.14	$106.04