Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $62.65 / $105.64	Professional		$55.31	$62.65	$105.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $92.37	Professional		$72.00	$72.00	$92.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $75.42 / $103.32	Professional		$75.42	$75.42	$103.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $135.13 / $194.59	Professional		$94.59	$135.13	$194.59
United Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $67.42 / $107.47	Professional		$55.79	$67.42	$107.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $79.04 / $94.59	Professional		$79.04	$79.04	$94.59