Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $76.20 / $129.66	Professional		$66.53	$76.20	$129.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $99.51	Professional		$78.00	$78.00	$99.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $97.54	Professional		$71.20	$71.20	$97.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $145.56 / $209.61	Professional		$101.89	$145.56	$209.61
United Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $76.56 / $115.15	Professional		$68.08	$76.56	$115.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $88.08 / $101.89	Professional		$88.08	$88.08	$101.89