Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $60.60 / $108.41	Professional		$56.76	$60.60	$108.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $94.82	Professional		$74.00	$74.00	$94.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $86.66	Professional		$63.26	$63.26	$86.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $138.69 / $199.73	Professional		$97.09	$138.69	$199.73
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $69.19 / $110.29	Professional		$58.64	$69.19	$110.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $83.09 / $97.09	Professional		$83.09	$83.09	$97.09