Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $82.42 / $146.78	Professional		$67.81	$82.42	$146.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $112.64	Professional		$88.00	$88.00	$112.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $72.75 / $99.66	Professional		$72.75	$72.75	$99.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $164.77 / $237.27	Professional		$115.34	$164.77	$237.27
United Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $85.03 / $130.36	Professional		$74.23	$85.03	$130.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $96.51 / $115.34	Professional		$96.51	$96.51	$115.34