Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $73.66 / $131.77	Professional		$68.98	$73.66	$131.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $88.56 / $115.23	Professional		$88.56	$88.56	$115.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $116.46	Professional		$85.02	$85.02	$116.46
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 $65.23 / $84.10 / $134.05	Professional		$65.23	$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