Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $67.95 / $121.59	Professional		$63.66	$67.95	$121.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $86.83 / $106.33	Professional		$86.83	$86.83	$106.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $155.55 / $223.99	Professional		$108.89	$155.55	$223.99
United Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $77.59 / $123.69	Professional		$59.53	$77.59	$123.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $85.28 / $108.89	Professional		$85.28	$85.28	$108.89