Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $77.62 / $147.43	Professional		$77.19	$77.62	$147.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $128.93	Professional		$101.00	$101.00	$128.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $110.16	Professional		$80.42	$80.42	$110.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $188.61 / $271.60	Professional		$132.03	$188.61	$271.60
United Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $94.10 / $149.99	Professional		$76.56	$94.10	$149.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.63 / $105.63 / $132.03	Professional		$105.63	$105.63	$132.03