Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $63.12 / $119.66	Professional		$62.65	$63.12	$119.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $104.64	Professional		$82.00	$82.00	$104.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $90.28	Professional		$65.90	$65.90	$90.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $153.07 / $220.42	Professional		$107.15	$153.07	$220.42
United Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $76.37 / $121.73	Professional		$59.01	$76.37	$121.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $83.61 / $107.15	Professional		$83.61	$83.61	$107.15