Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $144.54	Professional		$42.66	$77.62	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $56.23	Professional		$35.48	$46.77	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $165.96	Professional		$42.66	$79.43	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $144.54	Professional		$72.44	$95.50	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $69.18 / $125.89	Professional		$38.90	$69.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $120.23	Professional		$57.54	$107.15	$120.23