Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $58.57 / $98.79	Professional		$51.72	$58.57	$98.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $86.38	Professional		$68.00	$68.00	$86.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $79.77	Facility		$79.77	$79.77	$79.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $58.23 / $79.77	Professional		$58.23	$58.23	$79.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.45 / $126.36 / $181.96	Professional		$88.45	$126.36	$181.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $63.04 / $100.48	Professional		$52.15	$63.04	$100.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $73.89 / $88.45	Professional		$73.89	$73.89	$88.45