Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $77.58 / $141.84	Professional		$74.26	$77.58	$141.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $124.03	Professional		$97.00	$97.00	$124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $126.78	Facility		$117.36	$117.36	$126.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $117.36	Professional		$85.67	$85.67	$117.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.01 / $181.44 / $261.27	Professional		$127.01	$181.44	$261.27
United Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $90.52 / $144.29	Professional		$68.06	$90.52	$144.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $90.43 / $127.01	Professional		$90.43	$90.43	$127.01