Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $69.95 / $120.10	Professional		$62.88	$69.95	$120.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.77 / $85.77 / $105.02	Professional		$85.77	$85.77	$105.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $153.63 / $221.23	Professional		$107.54	$153.63	$221.23
United Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $76.64 / $122.17	Professional		$59.46	$76.64	$122.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $84.25 / $107.54	Professional		$84.25	$84.25	$107.54