Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $76.08 / $125.25	Professional		$67.93	$76.08	$125.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $127.06	Professional		$100.00	$100.00	$127.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $89.11	Facility		$89.11	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $89.11	Professional		$65.05	$65.05	$89.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $185.88 / $267.67	Professional		$130.12	$185.88	$267.67
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $92.73 / $147.81	Professional		$70.09	$92.73	$147.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $84.16 / $130.12	Professional		$84.16	$84.16	$130.12