Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $67.30 / $248.35	Professional		$39.46	$67.30	$248.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $58.49 / $66.84	Professional		$52.74	$58.49	$66.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $42.63 / $42.63	Facility		$42.63	$42.63	$42.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $82.49 / $155.40	Professional		$46.42	$82.49	$155.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $106.69 / $173.88	Professional		$80.39	$106.69	$173.88
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $88.02 / $152.37	Professional		$62.10	$88.02	$152.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $92.45 / $113.85	Professional		$66.22	$92.45	$113.85