Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.20 / $65.97 / $118.38	Professional		$64.20	$65.97	$118.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $110.19	Professional		$86.00	$86.00	$110.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $82.02 / $112.36	Professional		$82.02	$82.02	$112.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.84 / $161.19 / $232.13	Professional		$112.84	$161.19	$232.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $80.42 / $128.18	Professional		$57.16	$80.42	$128.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $112.84	Professional		$81.00	$81.00	$112.84