Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $169.82	Professional		$41.69	$70.79	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $64.57	Professional		$47.86	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $151.36	Professional		$47.86	$83.18	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $131.83	Professional		$66.07	$89.13	$131.83
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 $44.67 / $70.79 / $125.89	Professional		$44.67	$70.79	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $117.49	Professional		$66.07	$97.72	$117.49