Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $65.30 / $111.46	Professional		$60.45	$65.30	$111.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $109.06	Professional		$86.00	$86.00	$109.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $76.06	Professional		$76.06	$76.06	$76.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $159.54 / $229.74	Professional		$111.68	$159.54	$229.74
United Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $79.59 / $126.87	Professional		$55.28	$79.59	$126.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $76.26 / $111.68	Professional		$76.26	$76.26	$111.68