Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $141.25	Professional		$41.69	$70.79	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $64.57	Professional		$45.71	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $162.18	Professional		$47.86	$87.10	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $147.91	Professional		$75.86	$102.33	$147.91
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 / $75.86 / $134.90	Professional		$44.67	$75.86	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $131.83	Professional		$89.13	$120.23	$131.83