Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $67.61	Professional		$41.69	$51.29	$67.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $58.88	Professional		$46.77	$51.29	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $97.72	Professional		$61.66	$67.61	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.90 / $346.74	Facility		$26.92	$30.90	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $63.10	Professional		$26.92	$30.20	$63.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $97.72	Professional		$11.75	$14.79	$97.72