Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $76.83 / $131.29	Professional		$68.73	$76.83	$131.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $114.82	Professional		$90.00	$90.00	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $132.63	Professional		$96.83	$96.83	$132.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $167.97 / $241.88	Professional		$117.58	$167.97	$241.88
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $83.79 / $133.56	Professional		$68.31	$83.79	$133.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $90.76 / $117.58	Professional		$90.76	$90.76	$117.58