Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $60.62 / $119.15	Professional		$43.62	$60.62	$119.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $38.34 / $52.53	Professional		$37.94	$38.34	$52.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $33.59 / $50.00	Facility		$33.59	$33.59	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $71.26 / $139.22	Professional		$44.02	$71.26	$139.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $88.51 / $116.75	Professional		$68.61	$88.51	$116.75
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $71.94 / $130.72	Professional		$49.63	$71.94	$130.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $78.90 / $97.19	Professional		$61.05	$78.90	$97.19