Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $76.75 / $131.77	Professional		$68.98	$76.75	$131.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $94.11 / $115.23	Professional		$94.11	$94.11	$115.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.24	Professional		$76.09	$76.09	$104.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $168.56 / $242.73	Professional		$117.99	$168.56	$242.73
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $84.10 / $134.05	Professional		$69.56	$84.10	$134.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $92.43 / $117.99	Professional		$92.43	$92.43	$117.99