Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $77.93 / $218.64	Professional		$44.22	$77.93	$218.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $49.46 / $56.96	Professional		$35.71	$49.46	$56.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.48 / $50.48 / $50.48	Facility		$50.48	$50.48	$50.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $80.98 / $171.20	Professional		$42.86	$80.98	$171.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $104.30 / $173.61	Professional		$78.42	$104.30	$173.61
United Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $90.73 / $142.32	Professional		$63.59	$90.73	$142.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $90.18 / $111.60	Professional		$58.17	$90.18	$111.60