Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $66.94 / $119.76	Professional		$62.70	$66.94	$119.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $85.53 / $104.73	Professional		$85.53	$85.53	$104.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $99.06	Professional		$72.31	$72.31	$99.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $153.19 / $220.61	Professional		$107.24	$153.19	$220.61
United Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $76.43 / $121.83	Professional		$59.30	$76.43	$121.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $84.01 / $107.24	Professional		$84.01	$84.01	$107.24