Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $41.10 / $55.78	Professional		$39.14	$41.10	$55.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $38.43 / $44.76	Professional		$38.43	$38.43	$44.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $42.04 / $42.04	Facility		$42.04	$42.04	$42.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $51.12 / $131.49	Professional		$37.24	$51.12	$131.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $45.56 / $77.95	Professional		$39.42	$45.56	$77.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $48.46 / $100.54	Professional		$34.17	$48.46	$100.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $41.49 / $56.42	Professional		$30.68	$41.49	$56.42