Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $64.97 / $100.87	Professional		$56.46	$64.97	$100.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $83.35	Professional		$65.00	$65.00	$83.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $89.19	Professional		$65.11	$65.11	$89.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.35 / $121.93 / $175.58	Professional		$85.35	$121.93	$175.58
United Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $62.82 / $96.46	Professional		$57.04	$62.82	$96.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $73.34 / $85.35	Professional		$73.34	$73.34	$85.35