Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $84.31 / $159.56	Professional		$69.84	$84.31	$159.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $109.28	Professional		$86.00	$86.00	$109.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.25	Professional		$82.67	$82.67	$113.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $159.85 / $230.18	Professional		$111.90	$159.85	$230.18
United Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $86.39 / $126.46	Professional		$74.76	$86.39	$126.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $96.73 / $111.90	Professional		$96.73	$96.73	$111.90