Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $56.65 / $161.49	Professional		$30.59	$56.65	$161.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $38.79 / $42.67	Professional		$30.97	$38.79	$42.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $40.92 / $50.00	Facility		$40.92	$40.92	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $65.40 / $127.96	Professional		$32.77	$65.40	$127.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $90.00 / $119.89	Professional		$69.77	$90.00	$119.89
United Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $37.00 / $60.06	Facility		$31.16	$37.00	$60.06
United Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $75.16 / $132.80	Professional		$49.92	$75.16	$132.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $80.23 / $98.76	Professional		$59.39	$80.23	$98.76