Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $144.54	Professional		$38.90	$74.13	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $47.86	Professional		$34.67	$38.90	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Facility		$50.12	$50.12	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $85.11 / $173.78	Professional		$42.66	$85.11	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $177.83	Professional		$100.00	$117.49	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $81.28	Facility		$36.31	$40.74	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $141.25	Professional		$39.81	$74.13	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $147.91	Professional		$74.13	$120.23	$147.91