Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $63.11 / $113.52	Professional		$46.40	$63.11	$113.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.40 / $57.06 / $72.47	Professional		$43.40	$57.06	$72.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Facility		$63.99	$63.99	$63.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $27.62 / $268.18	Professional		$23.06	$27.62	$268.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $75.98 / $103.63	Professional		$58.73	$75.98	$103.63
United Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $51.02 / $105.24	Professional		$34.77	$51.02	$105.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.16 / $236.16 / $236.16	Professional		$236.16	$236.16	$236.16