Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $69.61 / $113.51	Professional		$52.54	$69.61	$113.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $97.04	Professional		$76.00	$76.00	$97.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $97.44	Professional		$71.13	$71.13	$97.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $141.96 / $204.42	Professional		$99.37	$141.96	$204.42
United Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $74.37 / $112.31	Professional		$58.60	$74.37	$112.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $71.06 / $99.37	Professional		$71.06	$71.06	$99.37