Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $62.40 / $111.66	Professional		$58.46	$62.40	$111.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $79.73	Professional		$79.73	$79.73	$79.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $81.70	Professional		$59.64	$59.64	$81.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $142.83 / $205.68	Professional		$99.98	$142.83	$205.68
United Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $71.26 / $113.58	Professional		$58.95	$71.26	$113.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $78.31 / $99.98	Professional		$78.31	$78.31	$99.98